Business Services Request Form

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Business Information

Contact Person Information

Business Services Request

Business eStatements Disclosure

Choosing "Free Business eStatements" above and submitting this form gives National Exchange Bank & Trust your affirmative consent and agreement to the following terms:

  • All your deposit account statements, related notices and required disclosures, if available, will be delivered electronically.
  • You will provide your business' current e-mail contact information and agree to keep your e-mail address updated in our files to ensure that it is current.
  • You are able to view the PDF file in which the statement is provided.
  • National Exchange Bank & Trust eStatements are provided at no charge to our customers. Access to eStatements requires that paper statements be discontinued.
  • To withdraw your consent to receive National Exchange Bank & Trust eStatements and disclosures electronically, please call
    877-495-6989. Withdrawal of consent requires that you receive your statements and disclosures via the U.S. Postal Service. Written notification may be required.
  • A username and password are required to retrieve your eStatement. Your username will be e-mailed to the e-mail address you provided to us on this form. Your password will be communicated to you via the telephone.

Please print this page for your records before clicking "Submit."

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Bank-by-Phone: 800-707-BANK (2265)

Para servicios en español contáctenos al
numero 920-906-6963 o visite la página Internet.

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