NetBanc24, PhoneBanc24 Password Request Form

Instructions:
Fill in the text boxes below with the appropriate information, print the form, sign the form and forward to F&M Bank per the instructions below.

Start by entering today's date then hit the "tab" key to move to the next text field.  Continue using the tab key until you see the "Print This Document!" button. Click the button to print the form with the information you have entered.

Date: (format: MM/DD/YY)
Account Number:
Account Owner:
Authorized Signer:
Signature: _____________________________________

Important Information:
NetBanc24 and PhoneBanc24 are available for personal accounts only.  For commercial customers interested in our commercial online banking product, DirectConnect, please contact LaDonna Parks at 918-748-7184. 

This form will allow F&M Bank to set your initial password for the PhoneBanc24 automated telephone banking system.  In addition, this password will be used as your initial password for the NetBanc24 online banking system.
Password Requirements:
- It is strongly suggested that you change your password following your initial login to the PhoneBanc24 system.  For this reason, select a password that will be used only during your initial login session and then change your password to your preferred password for future use.
- Make your initial password easy to remember, but not something that would be easily guessed as in 1234 or 1111.
- An initial password of 0000 (all zeros) is not allowed.

Please set my initial password for the PhoneBanc24 and NetBanc24 systems to the following:


Print this document and save a copy for your records.  Please forward a signed copy either by mail or by fax transmission to:

Mailing Address:
The F&M Bank & Trust Company
Attn:  CIF Department
P.O. Box 4500
Tulsa, Ok  74112		 Fax Transmission:
F&M Bank - CIF Department
Fax: (918) 748-4020
 
*If you mail this form:
 Please allow 5 business days from the date this form is mailed to us for processing.  After waiting the 5 business days, proceed to Step 3 to complete the enrollment process.

*If you fax this form:
 Please allow 1 business day from the date this form is faxed to us for processing.  After waiting the 1 business day, proceed to Step 3 to complete the enrollment process.