Business Online Banking Enrollment Form
This enrollment form is used to request access to Business Online Banking for business clients that do not have online access currently. This form must be submitted by an authorized signer of the business per the corporate resolution on file with Merchants and Marine Bank.
INTERNET BANKING – Business Information
Application must be submitted by an authorized signer on all accounts for the business.
Please provide phone numbers for security code delivery.
  * denotes required field
Company Name:* Tax ID Code (EIN Number):*
Primary Contact Number:*
Address:*  
City:* Zip Code:*
Please fill out the information below for the authorized user to obtain access to internet banking.
Authorized User's First Name:* Last Name:* Middle Initial:
Authorized User's SSN:*
Email Address:*
 
Login ID
Please enter your desired Login ID. Your Login ID must contain at least 8-17 characters consisting of letters, numbers or symbols. Each user's Login ID must be unique. If the Login ID you have requested is not available, Merchants and Marine Bank will provide a similar but alternate Login ID for you.

Preferred Login ID:*

 
Account Access Information
 
Please provide the Account Number and Account Type for each account that you wish to access using Online Banking. All accounts must have the same ownership as the information provided in Authorized Signer Information above.

Account Number Account Type


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