Electronic Access Enrollment Form

* Denotes a required field. All required fields must be completed in order to process your enrollment request.

    I acknowledge that Bill Pay assesses a separate Overdraft Fee of $20 for each item in addition to the bank's Overdraft Fee.
    The terms and conditions of the “Online Banking Agreement,” “Mobile Services Agreement,” “Terms and Conditions of The Bill Payment Service,” and/or “Electronic Disclosure and Consent,” and you request Longview State Bank to establish you as a Bill Payment and/or Mobile Deposit Customer as designated above.
  • This field is for validation purposes and should be left unchanged.