1 Contact Info 2 Branch and Account Information 3 Business Details 4 Business Account Signer Information 5 Current Employer 6 Privacy Policy How can we contact you? Let's start with a little information about you. First Name * Required Middle Name Required Last Name * Required Email Address * Required Confirm Email Address * Required Address Line 1 * Required Address Line 2 City * Required State * Required Please select a state Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Northern Mariana Islands Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington U.S. Virgin Islands West Virginia Wisconsin Wyoming Zip * Required Date of Birth *Invalid Date Social Security Number *Required Phone Number *Required Branch and Account Information Alliance Bank currently has locations in WI and provides service in some areas of MN. If you do not live or plan to live in these areas, we are unable to process your online application. I confirm that I currently reside in the state of Wisconsin or Minnesota * Required Select Yes Which branch location do you or would you frequent the most? Required Select Mondovi Osseo Cochrane Bluff Siding Type of Checking account(s) you are applying for: Required Select EZ Business Business Checking Regular Checking Type of Savings account(s) you are applying for: Required Select Statement Saving Money Market Other Products you might be interested in? Required Select Personal Checking Personal Saving Certificates of deposit (CDs) Business Details Please enter your Business Details Business Name * Required Business Entity (LLC, Sole Proprietorship, Ect) Required Tax ID No. (TIN) * Required Business Address 1 * Required Business Address 2 Required Business City * Required Business State * Required Select AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Business ZIP * Required Business Phone * Required Business email Required What is the intended purpose for opening this account? * Required Select New Business New to the area General Business Purposes Other If Other please describe Required Approximate Number of monthly deposits? * Required Do you now or do you plan on owning an ATM or rent space for an ATM? * Required Select Yes No Types of deposit that will be made into your account * Required Select Checks Cash ACH Wire Transfers Other Enter Name for Additional Signer for this account(s) Required Enter Title for Additional Signer for this account(s) Required Enter Email for Additional Signer for this account(s) Required Enter Name for Additional Signer for this account(s) Required Enter Title for Additional Signer for this account(s) Required Enter Email for Additional Signer for this account(s) Required Enter Name for Additional Signer for this account(s) Required Enter Title for Additional Signer for this account(s) Required Enter Email for Additional Signer for this account(s) Required Enter Name for Additional Signer for this account(s) Required Enter Title for Additional Signer for this account(s) Required Enter Email for Additional Signer for this account(s) Required Business Account Signer Information Please enter Business Account Signer information. Are a US Citizen? * Required Select Yes No Business Title (Owner, President, Treasurer, Ect) Required When is the best time to contact you? Required Select Morning Afternoon Either Preferred method of contact Required Select Email Phone Either Driver's License Number * Required Driver's License Issue Date * Required Driver's License Expiration Date * Required Mother's Maiden Name * Required Birth City * Required Current Employer Please enter current employer information. Are you Solely self-employed? * Required Select Yes No Current Employer Name Required Current Employer City Required Current Employer State Required Select AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Current Employer Zip Required Current Employer Phone Required Are you a senior political figure within a country other than the United States or are you a close friend, spouse or immediate family member to a senior political figure within a country other than the US? Required Select Yes No If yes, please specify the country and the name of the territory office, representatives, name politician, and title of office held Required Privacy Policy Please read and accept the privacy policy to continue. Accept Privacy Policy You're done! Thank you for completing your application! You can now begin signing your closing documents. Thank you for completing your application!Your financial institution is reviewing your application and will contact you for the next steps.You can now safely close your browser window or tab. Thank you for your submission! Your financial institution will contact you for the next steps.You can now safely close your browser window or tab. © Copyright 2024 Epic River Financial, Inc. All rights reserved. Version 24.1.3.13