Apply for a Personal Account

Please provide all the requested information to apply for an account. When you have completed the form, press submit to forward the information via our secure server to ProGrowth Bank.  Prior to clicking on the Submit button, you may want to print the completed form to keep for your records.  

 If opening multiple accounts, please use a separate form for each account.


IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.  What this means for you:  When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you.  We may also ask to see your driverís license or other identifying documents.

Account Type:
Savings:  
Checking: 
Amount account will be opened with:
If Certificate of Deposit, please specify Term:

Earn Money for our Schools Program 

If you are opening a new checking account, you may designate a school within the Gaylord or Nicollet area to receive $25.00.  Please enter the name and city of the school of your choice:

Source of Deposit:

Please transfer from my current ProGrowth Bank account

Account number: 

I will transfer funds from another financial institution 
I will mail in a check or money order
I will send a wire transfer 
Other. Please explain: 

Applicant Information:

First Name:
Middle Initial:
Last Name:

Name of Joint Account Owner if any: 

Street Address:
Mailing Address, if different:
City:
State:
ZIP Code:
Country:
E-mail Address:
Home Phone Number:
Work Phone Number:
Driver's License Number:  
State Issued:
Social Security Number:
Taxpayer ID Number 
(if different from Social Security Number)
:
Date of Birth (00/00/00):
Mother's Maiden Name for account verification:
City you were born in:

 Other instructions or needs you may have:

If this is an individual account, you may submit now. If this is a joint account, please fill out the following section as well. Thank you!

First Name of Joint Account Owner: 

Middle Initial:

Last Name:

Street Address: 

Mailing Address, if different:

City:

State:

ZIP Code:

Country: 

E-mail Address:

Home Phone Number:

Work Phone Number:

Driver's License Number:

 

State Issued:

Social Security Number:

Taxpayer ID Number (if different from SS Number):

Date of Birth (00/00/00):

Mother's Maiden Name for account verification:
City you were born in: