Heritage Bank

go Green & get Green

Introducing a Completely Paperless Account That Pays Interest

We understand there's just too much paper in your life. With all the mail, catalogs, bills and statements you get, it's good to know that your bank is helping reduce all that paper. Heritage bank created the Green Account, a way to conveniently manage your money online-it's completely paperless, and you can earn interest.

Key features:

Open your account with just $100
No minimum balance
Free online bill pay
Earn interest monthly when your balance is over $1,000
Receive your statements by email
Unlimited ATM withdrawals

Save some trees and earn some green. Bank online, whenever you want. It's convenient and free. Now that's brilliant banking!

Fill in the form below to start your Green Account now.

* = Required Field

New Account Application:
*Name:
Business Name (if applicable):
*Address:
*City:
*State:
*Zip:
Fax:
*Phone:
*E-mail:
*Date of Birth:
*Social Security Number:
*Kansas Drivers License, State Issue ID, or Military ID Number:
*ID Issue Date:
*ID Expiration Date:
Best Method of Contact:
Account(s) Interested In:	Personal Accounts Gold Checking Silver Checking Bronze Checking Green Checking Heritage Senior Checking Student Checking Money Market Heritage Savings Youth Savings Certificates of Deposit Business Accounts Small Business Checking Regular Business Checking NOW Checking Money Market Business Savings
Are you currently a customer of the bank?	Yes No
BY CLICKING ON THE SUBMIT BUTTON BELOW, I (WE) APPLY FOR THE DEPOSIT PRODUCTS LISTED ABOVE AND CERTIFY THAT ALL INFORMATION PROVIDED ABOVE IS CORRECT AND AUTHORIZE YOU TO CHECK MY (OUR) CREDIT AND VERIFY THE INFORMATION PROVIDED IN THIS APPLICATION. I (WE) ALSO CERTIFY UNDER PENALTY OF PERJURY THAT THE SOCIAL SECURITY NUMBER(S) PROVIDED ABOVE IS/ARE CORRECT AND THAT I AM NOT (WE ARE NOT) SUBJECT TO BACKUP WITHHOLDING UNDER THE INTERNAL REVENUE CODE. I (WE) UNDERSTAND THAT ADDITIONAL INFORMATION MAY BE REQUIRED BEFORE A DECISION CAN BE MADE REGARDING THIS APPLICATION. I (WE) FURTHER UNDERSTAND THAT APPROVAL BY HERITAGE BANK FOR ANY OF THE DEPOSIT PRODUCTS IS CONDITIONED ON MY (OUR) AGREEMENT TO ABIDE BY ALL TERMS AND CONDITIONS CONTAINED IN THE APPLICABLE DEPOSIT AGREEMENT. I FURTHER AGREE TO RETURN ANY ACCESS DEVICE FOR OBTAINING FUNDS FROM ANY TYPE OF ACCOUNT UPON DEMAND BY HERITAGE BANK.
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