To introduce you to the benefits of unlimited Bill Payments and online images, New customers will be enrolled in the 5-Star Package with absolutely no fees during a 90-day preview period. Individuals who wish to transfer to the Basic or Extended Basic Package may contact FSNB by phone or Secure Message. Each account holder should enroll separately. Please allow 3-5 business days for processing.

Account Number:

First Name:

Middle Initial:

Last Name:

SSN:

Home Phone:

Cell Phone:

Street Address:

Apt. #:

City:

State/Province:

Country:

Zip/Postal Code:

Email Address:

Password Information: Enter a TEMPORARY PASSWORD below to be used when you access the system for the first time. At that initial login, you will be prompted to change this password to preserve your security. Passwords MUST contain a combination of letters and numbers.

Password: Must be 8 - 15 characters and include at least one number. Your password is case sensitive.

SIGNATURES:  By signing below, I hereby: (1) confirm that I have received, read and will be bound by the Terms and Conditions as defined by the FSNB (FSNB) "The Front Line" Online Banking agreement (Click here to print or review the agreement); (2) understand that the Agreement, as amended from time to time according to its terms, will govern all transactions involving "The Front Line"; (3) consent to receive all Electronic Fund Transfer disclosures electronically; (4) agree that FSNB can communicate any notices of change in terms of the Agreement and all disclosures required by law to me via e-mail, postal mail, or by posting on the FSNB website; (5) authorize FSNB to honor all transactions I make on "The Front Line" utilizing my login ID and password.

SIGNATURE: _______________________________________ DATE: ______________

For security we do not allow you to enroll online.

PLEASE PRINT, SIGN AND RETURN THIS FORM IN PERSON, BY MAIL OR FAX TO: FSNB N.A. BOX 33009 Fort Sill, OK 73503 FAX (580) 354-3402

For customer assistance, please feel free to call us at 1-800-749-4583