Personal Enrollment Form Agreement

Charges:
The following charge may be applied to your account. If you choose to sign up for the optional Bill Pay service, and do not use it to make at least one transaction during a calendar month, you agree to be assessed a charge of $5.00 for that month.

By clicking the button below, I agree that the information to be provided in the following enrollment form is a true and correct representation of my identity. I take full responsibility for all online transactions in connection with my accounts. I will not hold Pine River State Bank liable for any activity resulting from my decision to apply for and utilize Internet Banking/Bill Pay or accessing my accounts online. If I choose to enroll in Bill Pay, I have also read and agree to the agreement linked to below.
Personal Enrollment Form Agreement
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