Enrollment - Business Information

To apply for Your Financial Institution Small Business Bill Pay Services, complete the first three steps of the enrollment form and then follow the fourth step's instructions to continue with the enrollment process. Within two weeks, you'll receive your welcome kit with all the information you need to begin using Your Financial Institution Small Business Bill Pay's convenient Payment Services.


This is Step 1 of the enrollment process. The information you provide here helps us maintain your account and enables us to efficiently process your payments. This information is only used for making payments in Your Financial Institution Small Business Bill Pay.

Please complete the information on this page and click Continue.


Business Information
Business Name:
 Is this information kept private?
Tax ID:

How secure is the information I give to you?

 

Address 1:
  

Address 2:
(Optional)  

City:
 

State:
 

ZIP Code:
-  

Business Phone:
 (xxx-xxx-xxxx) What if I don't have a business phone?

Business Fax Number:
 (xxx-xxx-xxxx) (Optional)  

Business E-mail Address:
Do you give the business e-mail address to any other company?

Business Type:
 What is a business e-mail address ?