First State Bank of Healy

Online Enrollment

Welcome to our Online Enrollment Form for Internet Banking.

Please enroll with the first name on the statement & with that Soc. Sec. Number.

The area code needs to be in parenthesis (620).

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Enroll for Online Banking » Personal information »

Personal Information

* Fields in bold are required

 
ex. 03/01/1970  
 

Phone Number

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Enter a minimum of 10 digits and a maximum of 15 digits with no dashes  



Address

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Account Number

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