© 2012 The Forms Group, All Rights Reserved


Huntington Federal Savings Bank
New Account Information Form

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

Applicants must reside within a 50-mile radius of our main office in Huntington, and our branch office in the Putnam Village Shopping Center.

Account Holders must reside in County, State.

Security Notice: ONLY fill out this form on-line if you are using a browser with the latest security enhancements. If you do not have the latest version, download it now. This form is NOT cached (saved in your computer's memory) when you QUIT your browser.

Instructions:
Instructions:
1. Complete this questionnaire and click "Submit" or print and fax it to 304-528-6289.
2. To safeguard your privacy, QUIT your browser and restart it again after using this form. This form is NOT saved in your computer's memory when you quit your browser.
3. We will contact you with the location of our closest office for you to sign a signature card. You may also be requested to provide photocopies of your Social Security card and Driver's License, or other documentation.

The purpose of this questionnaire is for us to gather some information, so you can begin the application process. All applications are subject to approval. Please note that Primary and Joint account holders will need to sign an official account form in person at one of our offices before the account can be opened. For your own account security, we'll also need to photocopy your driver's license(s), and another other form of ID, so we can have it on file to accurately identify you in the future.

Individual Account
Joint Account
Name Name
Street Address Street Address
City, State, Zip City, State, Zip
Mobile Phone Mobile Phone
Home Phone Home Phone
Work Phone Work Phone
E-mail Address E-mail Address

Primary Account Holder Information Joint Account Holder Information
Social Security Number Social Security Number
Driver's License Number Driver's License Number
Expiration Date Expiration Date
Date of Birth Date of Birth
Employer Employer
Position Position
I would like to open
Personal Checking Business Checking Money Market Statement Savings CD IRA
I/we would like an ATM/Debit Card. # of cards:

I/we would like transfer capabilities at the ATM and online.
I/we would like free online access to account(s).