NVB Online Application

Internet Banking Services
To sign up for NVB Online (Internet Banking), fill in the information requested below, print the completed form and sign it. You may also call (660) 562-3232 or (816) 364-5678 to receive an application by mail. You may then, mail, fax or drop off your application at any NVB Branch Office. Once your signed application is received, you will receive notification of the accepted Access ID in the mail using the address you entered below. In a separate mailing you will receive a temporary Password. You will be prompted to change your Password the first time you log on.

I wish to apply for the following

NVB Online Internet Banking

Receive Statements through NVB Online
* This selection will replace mailed paper statements

Name: (First, MI, Last)
Date of Birth:
Social Security Number
Home Phone:
Work Phone:
Cell Phone:
Address:
Address:
City, State, Zip
Checking Acct #:	Savings Acct #:
E-mail Address:
Access ID: 1st choice:	Must be 6 to 10 characters (letters / numbers)
Access ID: 2nd choice:	Must be 6 to 10 characters (letters / numbers)

Services
NVB Online Banking allows you to view account activity, transfer funds between your Nodaway Valley Bank accounts, receive statements online, pay bills, and download transactions into most popular financial software packages.

The follow charges apply to NVB Online banking services.

Account Inquiry	Free
Transfer between NVB accounts	Free
Receive statements online	Free
Download transactions or statements	Free
Pay Bills Online	Free

Security
NVB Online Banking uses encryption technology to assure you that your private account information remains private. Account access is based on ownership of each account, meaning only the accounts you are authorized to sign on will appear on your account listing.

To use this service, you will need a PC with a browser that supports 128-bit Secure Sockets Layer encryption. We recommend the latest version of Internet Explorer or Netscape Communicator.

Notification
Once your signed application is received you will receive two separate mailings at the address entered above. The first will contain your accepted Access ID. The second will contain your temporary Password. You will then be ready to log onto NVB Online!

Authorization
By signing below, I indicate that I have read the NVB Online Banking Agreement and agree to the terms and guidelines stated therein.

____________________________________ (Signature) _____________ (Date)

You can Mail, Fax or Drop off the Completed Application at any NVB branch office:
Nodaway Valley Bank
304 N Main
PO Box 700
Maryville, MO 64468
(660) 562-3232 voice (660) 562-2079 fax