Secure Contact Form
The First National Bank of Groton
161 Main Street
Groton, NY 13073
41 South Main Street
Moravia, NY 13118

Please Complete This Section
Your Name

Company Name (if applicable)

Your E-Mail Address

Phone Number w/Area Code

Best Time To Call

Fax Number w/Area Code

Mail Address

City, State, Zip

How would you like us to answer you?
Telephone Fax Regular Mail E-Mail

General Comments:
If you would like to forward this message to a specific
person, please include with your comments:

Request Product Information
Lending Products
Automobile Loan
Home Equity Loan
Home Equity Line of Credit
Home Improvement Loan
Mortgage Loan
Mortgage Refinancing
Personal Unsecured Loan
Small Business Loan

Deposit Products
Business Checking
Money Market Checking Account
Money Market Investment Account
Personal Checking Accounts
Personal Savings Accounts
Certificates of Deposit
Individual Retirement Accounts

Other Products or Services

Loan Application Request
*Filling out this section does not constitute an application.
Amount Requested:
Term: Months Years
Purpose of Loan:
Are you a present customer of our bank?
  Yes No  
How would you like to apply for your loan?
  In person By mail  

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