Business Banking Enrollment Form Fax this form to …

1 Business Banking Enrollment form Fax this form to Business Banking at (870) 238-6143 Or Email form to COMPANY INFORMATION (please print) Company Name: Email Address: TIN: Phone: Current address: City: State: ZIP Code: Business Structure: Sole Prop. LLC Association School District Partnership Corporation Municipality Government ADMINISTRATIVE INFORMATION (please print) First Name: Middle Initial: Last Name: Title: Email Address: Day Phone: Fax Number: REQUESTED SERVICES: Standard Service Features.

2 Basic Services* (includes account information, balance, transaction history, and account transfers) *Basic Service features are free of charge Bill Payment Service: Business Bill Pay* *Bill Pay features are free of charge Premium Service Features: Wire Transfer ACH Origination *Monthly service fee will be charged for the use of these services. Separate fee for each Wire Transfer applies. Please contact bank for details. ACCOUNT FOR BILL PAYMENT (for Bill Payment Customers Only) Please indicate which checking account number you would like to use for Bill Payment: ACCOUNTS TO ACCESS THROUGH Business Banking : Account Number: BY SUBMITTING THIS APPLICATION: 1.

3 I acknowledge that I will read the following documents prior to using the service and by accessing the service I thereby agree to their terms and conditions. a) Business Banking and Disclosure Agreement; b) Automated Clearing House Agreement (if applicable); c) Wire Transfer Authorization Agreement (if applicable). The bank may amend the documents from time to time. 2. I will select a Company ID and Company Password for Business Banking to access specific accounts. 3. I agree to safeguard my Company ID and Company Password.

4 I agree to notify First National Bank of Wynne immediately if my Company ID or Password is compromised. 4. All instructions delivered through the use of Business Banking will be deemed to be my written authorization to charge my accounts for the transaction(s) indicated. All transactions are subject to First National Bank s rules for my account. Signature of applicant: Date: BANK USE ONLY: Approved by: Entered by: Verified by: Date: Business Banking and Disclosure Agreement 1.

5 Scope of this Agreement. This Agreement sets forth the terms of the Business Banking services ( Services ) that The First National Bank of Wynne ("us" and "Bank") makes available to its customers ( you ). By applying for any Services, you agree to be bound by these terms. Your use of any Service will be additional evidence of your agreement to these terms. 2. Services. We will notify you when the Services you request will become available to you. If you request additional Services in the future, they will also be governed by this Agreement, unless we advise you otherwise.

6 3. Equipment Maintenance a. Virus Protection: You should routinely scan your computer using a reliable virus detection product. Undetected or unrepaired viruses may corrupt and destroy your programs, files, and even your hardware. Additionally, you may unintentionally transmit the virus to other computers. b. Firewalls: You should also utilize a firewall, (hardware and/or software) especially if you have a broadband Internet connection such as DSL or cable modem. c. Patches: You should periodically update your operating system and browser for critical security related patches.

7 YOU ARE SOLELY RESPONSIBLE FOR THE MAINTENANCE, INSTALLATIONS, AND OPERATION OF YOUR COMPUTER. THIS FINANCIAL INSTITUTION SHALL NOT BE RESPONSIBLE FOR ANY ERRORS, DELETIONS, OR FAILURES THAT OCCUR AS A RESULT OF ANY MALFUNCTION OF YOUR COMPUTER OR SOFTWARE, NOR WILL WE BE RESPONSIBLE FOR ANY COMPUTER VIRUS THAT AFFECTS YOUR COMPUTER OR SOFTWARE WHILE USING OUR SERVICE. YOU AGREE THAT WE SHALL NOT BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL COSTS, EXPENSES, OR ANY DAMAGES WHATSOEVER (INCLUDING LOST SAVINGS OR PROFIT, LOST DATA, Business INTERRUPTION, OR ATTORNEY S FEES) RESULTING FROM ANY ERRORS OR FAILURES FROM ANY MALFUNCTION OF YOUR COMPUTER OR ANY VIRUS OR COMPUTER PROBLEMS THAT YOU MAY ENCOUNTER RELATED TO THE USE OF THE SERVICE.

8 4. Accounts. Your application may list certain Bank accounts that you wish to access with the Services. If it includes the accounts of your parent company, subsidiaries or affiliates, you warrant that they have authorized you to access their accounts through the Services in the same manner as your own accounts. You agree to provide us with their written authorization, in form and substance acceptable to us, evidencing that authority, and to notify us immediately in writing of any change to that authorization.

9 You will need to designate certain accounts for specific purposes in connection with some of the Services. If you link more than one checking account to our wire or ACH Services, for example, you will need to specify the account from which transfers should be made. You may appoint an individual (an Administrator ) with the authority to determine who will be authorized to use the Services on your behalf. Your Administrator can establish separate security codes for you and each user, as well as limits on each user s authority to access information and conduct transactions.

10 You assume sole responsibility for the actions of your Administrator, the authority he or she gives others to act on your behalf, and the actions of the persons designated by the Administrator to use the Services. You or your Administrator will need to designate which accounts will be utilized for Service payments and transfers. If your Administrator designates an account that requires more than one signature for the withdrawal or transfer of funds, you agree that we may act upon any Service instruction that is accompanied by the security code(s) designated by you or your Administrator for that account and the Service in question.