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Internet Banking Application

Citizens Bank of Eldon & Versailles
P. O. Box 275
Eldon, MO. 65026
573-392-3381

Please complete the following form. Once received, Citizens Bank will review the application and mail an ID and Password to the address on your account.

You must be an existing customer of Citizens Bank to enroll. To start an account please come into any of our Branches and speak with a Customer Service Representative.

Customer Name:

Address:

Daytime Phone

Evening Phone

Your CORRECT E-Mail Address

Account Number

Account Type