Open a Personal Account

Thank you for your interest in establishing an account and banking relationship with Integro Bank. A member of our banking team will be reaching out to you to complete the process. If you have any difficulties in completing this form or require assistance, please contact us at bankingoperations@integro.bank.

*Unless specified, all fields are required. This is a secure form.

Accounts(s) to Open:

Checking Savings Money Market CD
Online Banking Bill Pay Mobile Deposit Online Wire Online ACH

Primary Account Holder

Full Name

Date of Birth

Social Security Number

Primary Address (Cannot be a PO Box)

Street Address

Apt/Suite# (Optional)

City

State

Zip

Years at Address?

Mailing Address (PO Boxes accepted)

Street Address

Apt/Suite# (Optional)

City

State

Zip

Contact Information

Email Address:

Phone Number

Is this a mobile phone?

Yes No

Identity Verification

Valid ID Type

Are you a US Citizen?

Yes No

ID #

State Issued

Date Issued

Expiration Date

Employment Status

Employer

Occupation

Secondary Account Holder

Full Name

DOB

SSN

Primary Address (Cannot be a PO Box)

Street Address

Apt/Suite# (Optional)

City

State

Zip

Years at Address?

Mailing Address (PO Boxes accepted)

Street Address

Apt/Suite# (Optional)

City

State

Zip

Contact Information

Email Address:

Phone Number

Is this a mobile phone?

Yes No

Identity Verification

Valid ID Type

Are you a US Citizen?

Yes No

ID #

State Issued

Date Issued

Expiration Date

Employment Status

Employer

Occupation

Consumer Account Opening Request Form

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