Online Banking Enrollment
Customer Information
  * denotes required field
First Name*: Middle Initial: Last Name*:
Business Name:
Social Security*: TIN (if business):
City*: Zip Code*:
Home Phone*: Mobile Phone:
Work Phone: Ext:
Email Address*:
Date of Birth*:  
Motherís Maiden Name*:
Login ID

Please enter your desired Login ID. Each Login ID must be unique. Your Login ID can contain up to 15 characters consisting of letters, numbers and symbols. You may choose any of these 'special' characters ¬Ď~!@#$%^&*()_+-={}\[]:?;<>,./\ If the Login ID you have requested is not available, RiverBank will provide a similar but alternate Login ID for you.

Login ID*:
How did you hear about our Online Banking?
Please let us know how you heard about us.
  Electronic Signature*: Date*: