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:
*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
You will be notified via email once your online account has been activated. To ensure Plumas Bank e-mails get to your inbox, please add 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.

This document is being secured with SSL encryption provided by your browser. Your information will be encrypted when using this form while in transit between your browser and Plumas Bank.
*Signature: *Date:
  (Type your full name)   (Today’s Date)