Commerce Bank Online Banking Application

Thank you for your interest in NetTeller, Commerce Bank's Online Banking & Bill Payment service. To get started, complete the following Commerce Bank Online Banking & Bill Pay Application for Consumers. All information on the application is required to process your application. Commerce Bank Online Banking access information will be mailed to the address we have on record for you within 1 to 3 days.

Privacy Policy: Our privacy policy protects the privacy of your personal identifying information that you provide us online.

Commerce Bank Consumer Online Banking & Bill Payment Application

For what Commerce Bank service are you applying?
NetTeller Online Banking and Bill Payment
NetTeller Online Banking ONLY (skip Section III below)
NetTeller Bill Payment ONLY. Previously applied for NetTeller Online Banking (skip Section II below)

All required sections must be completed before application is processed.

Section I - Account Holder Information

Must be owner on all accounts and be 18 years of age.
Date
Applicant Name	SSN:
Mailing Address	E-Mail
City, State, Zip:	Daytime Phone
For Online Bill Payment
Secondary User Name (if applicable):	SSN:
Daytime Phone	E-Mail

Section II - NetTeller Online Banking Set-up

Must be owner on all accounts and be 18 years of age.

* Account Number:	Account number to be accessed.
* Type of Account:	D=Checking S=Savings L=Loans T=CD/IRA
* Account Identifier:	The name given to this account will be displayed when you do an account inquiry. Name must be 20 characters or less including blanks with no use of symbols. Examples: Checking 1, Checking 2, Joes Checking
* Transfers:	Y=Do transfers for this account. N=Do Not do transfers for this account.

*Account Number	*Type	*Account Identifier	*Transfers

Section III - NetTeller Online Bill Payment Set-up

Bill Payment Checking Account Number (7 Digits).

Section IV

For security purposes, please provide us with your mother’s maiden name. This will be used to verify identity if you need to contact customer service.

Mother's maiden name:

I am an authorized signer of the account listed in the NetTeller Online Banking Set-up (Section II) and/or NetTeller Online Bill Payment Set-up (Section III) and I authorize and direct Commerce Bank to set up the above account(s) for use through Commerce Bank Online Banking and/or Bill Payment. I also authorize Commerce Bank to set up the account(s) which are designated above for funds transfer. I authorize Commerce Bank to process payments I have initiated through NetTeller Online Bill Payment from my account. I authorize the Bill Payment Processor to accept payments initiated from my account via NetTeller Online Bill Payment.

The use of NetTeller Online Banking will be governed by the printed terms and conditions of the Commerce Bank Online Banking Agreement and such other terms and conditions or amendments thereto, as may be established by Commerce Bank and communicated in writing to me (us). All terms and conditions that were disclosed to me when I opened my account continue to apply.

The use of NetTeller Online Bill Payment shall be governed by the printed terms and conditions of the Commerce Bank Online Banking Agreement and such other terms and conditions or amendments thereto, as may be established by Commerce Bank and communicated in writing to me (us). Commerce Bank is not liable for any service fees or late charges levied against me. All terms and conditions that were disclosed to me when I opened my account continue to apply.

Electronic signature. I agree that the submission of this application to you electronically constitutes the electronic signature on this application of each applicant for NetTeller Online Banking and/or Online Bill Payment.