Online Enrollment

To sign up for Online Banking, complete the form below and click the Submit button. The Farmers and Merchants Bank will notify you when your application has been approved and your account activated.

Personal information

Address

Agreement

User ID

Enroll for Online Banking » Personal information »

Personal Information

* Fields in bold are required

Social Security Number	*
First Name		Middle Name	Last Name
Date of Birth	ex. 03/01/1970 *
Email Address	*

What is your mother's maiden name?

Identification

Type		Number
Expiration date	*
State

Address

* Fields in bold are required

	Primary
	International address
Address 1:
Address 2:
City:
State:
Zip Code:	*

Phone Number

Enter your phone information below:

Phone Number Enter a minimum of 10 digits and a maximum of 15 digits with no dashes *

Home
Mobile
Work

Home

Mobile

Work

Add another Phone Number