NetTeller Sign-Up Form
Please complete, print and sign this page and return it to one of our three branches. By returning this completed form, you will gain access to all of your Citizens Bank of Ashville accounts.
Customer Personal Information
First Name:
Middle Initial:
Last Name:
Address:
City:
State:
Zip code:
Soc. Sec. #
Telephone #
Email:
Mother’s Maiden Name:
Customer’s Signature: __________________________________