BUSINESS ONLINE BANKING ENROLLMENT FORM
Check all that apply: Enroll in Business OnLine Banking Account number for billing fees (required)____________________________ Change Company Administrator Add or Delete Accounts Accessed in Business OnLine Banking
Company Information
*Required
Tax ID* Company Name* Company Address
No Post Office Boxes
Date
Company City Company Contact* Contact Email Address*
State Phone*
Zip
Company Administrator-Assigns access to other Users in your company
Name Title Phone Number
Extension
Email Address
Accounts
Account(s) Account Type Account Number (#)
1 2 3 4 5 6 7 8
Name on Account
Add
Delete
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Services- Please Indicate Which Services You Are Requesting
Balance Reporting Sweeps Stop Payments Funds Transfer Online Services -Photocopy Request -Check Reorder -Account Research -Cash/Change Order Wire Transfers (This service will allow all Users to send wire transfers without the approval of another party and without limitations UNLESS you check the boxes below.) We require wire transfers to be initiated and approved by two different Users We will establish dollar limits for our Users (Daily Maximum Limit and Per Wire Transaction Limit) We will allow Users to send wire instructions without using the wire transfer form(s)/template(s) created by our Company Administrator
Authorization – You agree to be bound by the terms of the OneUnited Bank Business OnLine
Banking Agreement and Business OnLine Banking Fee Schedule as well as any amendments we provide to you from time to time. This authorization does not change other agreements that you have with OneUnited Bank including, but not limited to, the OneUnited Bank Business Account Disclosure. Signature Signature Signature Date Date Date
Bank Use Only- Online Services Activated By (Print Name and Sign)
Date Activated
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OneUnited Bank Business OnLine Banking Fees
Feature
Standard Basic Service Monthly Fee One User (Company Administrator) Up to three (3) accounts Balance Reporting Book Transfers (up to 5) A la Carte Additional User Additional Account Wire Transfer per Transaction Book Transfer per Transaction (after initial 5) Photocopy Request per Item Stop Payment (each) Transaction History Exports $ included included included
Fees
25.00
$ $ $ $ $ $ $
5.00 5.00 25.00 5.00 5.00 25.00 5.00
For all other fees, see OneUnited Bank Business Account Disclosure.
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