"Bank Where You're Known"
Personal Online Banking Enrollment Form
   PLEASE NOTE: Fields marked with an asterisk(*) are required.
Login Information
Desired Login Name*: Temporary Password*:
Your Login Name must be between 8 and 12 characters long. The user ID must be unique to our system. If none is chosen then the bank will assign you a user ID.
Your Password must be between 7 and 15 characters and contain at least one number and one (lower case) letter.
Customer Information
First Name*: Middle Initial: Last Name*:
Business Name: (If Applicable)  
Social Security #:* Date of Birth:*    
City*:   Zip Code*:
Home Phone*: Work Phone:  
Mobile Phone:  
Email Address*: Bank Use Only:
Account Access Information
Please provide the Account Number, Account Type and Access Level for each account that you wish to access using Online Banking. All accounts must have the same ownership as the information provided in Customer Information above.
Account Number* Account Type Access Level Access Level Description

Full Access : View account(s) and make all online transactions

View & Deposit : View account(s) and make online deposits, NO withdrawals.

View Only : View account(s), NO online transactions.

Deposit Only : Make online deposits, NO viewing or withdrawals.
Bill Pay Access Requested*
By clicking Submit Enrollment below, I certify that everything I have stated in this enrollment is correct. I authorize State Bank Group to issue a temporary password on my behalf which I will be required to change to a private password the first time I log into the system .