This enrollment form is intended for individual and sole proprietorships only.
If you are a Business/Corporation/LLC, you must contact the bank at 231-547-4411.
Login Information
Please select Login-ID between 8-30 characters. It may contain all letters or a combination of letters, numbers or special characters; it is case-sensitive and cannot contain spaces. Please select a Login-ID that you can remember as you will use this Login-ID once your account is activated.
Desired Login Name*:
Customer Information
Please provide at least one email address and one phone number to receive your secure access code for your Online Banking login. You will be required to set your password after entering your secure access code.
First Name*: Middle Initial: Last Name*:
Social Security #*:    
City*: State*: Zip Code*:
Home Phone*:
Work Phone:  
Mobile Phone:  
Email Address*:  
Account Number Account Type Account Number Account Type
Please provide the Account Number(s) that you wish to access through Internet Banking. All accounts must have the same ownership as the information provided in the Customer Information above. If you would like to add additional accounts at a later time please contact the bank.
Signature and Disclaimers

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Charlevoix State Bank will contact you by phone within 2 business days to verify and activate your new Internet Banking account.