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To Enroll Online        

Mail In Enrollment Form For Online Banking:  First Time User Information - You must have an account with The Rawlins National Bank to enroll for Online Banking. You may either type in the information and then print this form, or print this form and write the information.

Mail to:    The Rawlins National Bank, attn: Online Banking, P.O. Box 100, Rawlins, WY 82301                            

Required*

*Name    

*Address

*City            *State      *Zip

*Mothers Maiden Name

*Security Question   (example: What is your favorite pets name)  

*Security Answer         

  (Used for Security purposes when calling to inquire about your On Line Banking)                                             

   E-mail Address        

 *Account Number            

*Account Type                   Checking, Savings, Loan, etc

*Verify your last four digits of your Social Security Number