Plumas Bank's Online Banking Enrollment Form
 
  This enrollment form must be completed by existing Personal Account holders that request Online Banking access. If you desire Business Online Banking access, please visit your local branch.
  If you already have a Login-ID please do not re-enroll.
     
    Please feel free to call us at (888) 375-8627 if you have any questions.
     
    *Required Fields
 
   
  Login Information
 
Please select Login-ID between 1-15 characters. It may contain all letters or a combination of letters and numbers; it is case-sensitive and cannot contain spaces. Please select a Login-ID that you can remember as you will use this Login-ID once your account is activated.
*Desired Login-ID:    
 
 
  Customer Information
 
To access our Online Banking experience, please provide at least one email address and one phone number to receive your secure access code for your Online Banking login. You will be required to set your password after entering your secure access code.
*First Name: Middle Initial: *Last Name:
*Social Security #:   Suffix:
*Address:  
Address:
*City: *Zip Code:
*Home Phone: Work Phone:  
Mobile Phone:  
*Email Address:
Email Address:
Email Address:
   
  Account Access Information
 
Please provide the Account Number(s) that you wish to access through Online Banking. All accounts must have the same ownership as the information provided in the Customer Information above.
*Account Number(s):
   
  Log On Information
 
Once your online account has been activated, how would you prefer Plumas Bank notify you?
Using Email - You will be notified within the next business day. To ensure that Plumas Bank e-mails get to your inbox, please add onlinebanking@plumasbank.com to your e-mail Address Book or Safe List
Using Postal Mail
   
  Signature & Disclosures:
 
By electronically submitting this form, I certify that everything I have stated in this application and on any attachments is correct. I acknowledge that I have received and read the Plumas Bank Online Banking Services Agreement.

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*Signature: *Date:
  (Type your full name)   (Today’s Date)