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  • Please enter the code to confirm your ability to view the required Portable Document Format (PDF) files. If the code isn't visible, click here to see code in new window or visit your nearest branch to apply for an account.

  • OK Error - Please enter the code to verify that you can view the required Portable Document Format (PDF) files. If the code isn't visible you will need to visit your nearest branch to apply for an account.
  • OK Name is required
  • OK Please enter a valid Email address
  • OK Social Security Number is required
  • Is this a joint application?

    OK Is this a joint application? is required
  • OK Co-Applicant Name is required
  • OK Co-Applicant Email is required
  • OK Co-Applicant SSN is required
  • E-Sign Act Disclosure and Consent

    • Before proceeding you must confirm that you have read and agree to the terms of the Electronic Signature Act Disclosure available at the link below.
    • OK
      You must read and agree to the terms of the E-Sign Act disclosure. Please make sure that you read it carefully and keep a copy for your records. Please agree to the E-Sign disclosure to continue.

Account Disclosures

    Please review the account disclosures and agreements by clicking on the links below. These documents contain the terms and conditions that will apply to your account(s). Once you have read the disclosures and agreements, please click the checkbox to acknowledge you have done so. You have the option to print these disclosures and retain them for your records. If you cannot view the disclosures below, click on the Adobe Reader link above to download the latest version.

    OK Please agree to the account disclosures to continue

Additional Information

  • OK Please indicate your occupation: is required
  • Fidelity Bank is a Mutual Financial Institution. As an account holder, you will have a vote at board meetings on any and all matters pertaining to the bank. If you would like for the board to act on your behalf, please read the Proxy document below and make your selection. Revocable Proxy

    OK Fidelity Bank is a Mutual Financial Institution. As an account holder, you will have a vote at board meetings on any and all matters pertaining to the bank. If you would like for the board to act on your behalf, please read the Proxy document below and make your selection. Revocable Proxy is required
  • Are you opening a Christmas Club account?

    OK Are you opening a Christmas Club account? is required
  • Deposits to our Christmas Club accounts can be made by scheduled Electronic Fund Transfers (EFT). Please tell us how you want to set up your EFT.

  • OK Financial Institution Name is required
  • OK Financial Institution Routing Number is required
  • OK Type of Account is required
  • OK Name on the Account is required
  • OK Account Number is required
  • OK Amount of Transfer is required
  • OK Frequency of Transfer is required
  • OK Start Date (must be at least 1 week from today) is required
  • OK End Date is required
    OK The information provided above is correct and I authorize Fidelity Bank to draft funds from the account as detailed above. is required
  • Would you like for us to order you a new debit card linked to your account? Accounts eligible for a debit card are Checking, Statement Savings and Premier Savings Accounts. Debit cards linked solely to a Savings account are only allowed ATM access.

    OK Please make a selection.
  • If you are interested in authorizing the Bank to pay overdraft items on ATM and everyday debit card transactions, please view how the overdraft program works as fees apply - Overdraft Authorization. After reviewing how the program works, please make your selection below. This program is only available on Fidelity Premier, On the Geaux, and Prime Senior checking accounts.

    OK Please make a selection.
  • If you are applying for a new checking or money market account, would you like to order checks? Checking account: 100 Sky Blue Wallet checks for $26 per box. Money Market: 40 Personal Wallet Money Market checks for $20 per box. First box of Premier Checking accounts checks are free.

    OK Please make a selection.
  • OK How many? is required
  • We can help you with all of your banking needs. What other products would you like us to contact you about?

    OK Please make a selection.
  • Would you like for us to combine your account statements? Accounts eligible for combined statements include Checking, Savings, Certificates of Deposits and Individual Retirement accounts.

    OK Would you like for us to combine your account statements? Accounts eligible for combined statements include Checking, Savings, Certificates of Deposits and Individual Retirement accounts. is required
  • The Telephone Consumer Protection Act (TCPA) restricts telephone solicitations (telemarketing) and the use of automated dialing systems, artificial or prerecorded voice messages, SMS test messages, and fax machines when marketing to consumers. By selecting I Consent below you are authorizing Fidelity Bank to contact you by telephone for marketing purposes. Consumers who ask not to receive telephone solicitations from Fidelity Bank will be placed on the banks Do Not Call list and will not be called in any future campaigns.

    OK The Telephone Consumer Protection Act (TCPA) restricts telephone solicitations (telemarketing) and the use of automated dialing systems, artificial or prerecorded voice messages, SMS test messages, and fax machines when marketing to consumers. By selecting I Consent below you are authorizing Fidelity Bank to contact you by telephone for marketing purposes. Consumers who ask not to receive telephone solicitations from Fidelity Bank will be placed on the banks Do Not Call list and will not be called in any future campaigns. is required
  • OK Land Line Number is required
  • (Mobile Number is optional) OK Mobile Number

    By adding a mobile telephone number I am certifying that I am the account holder for the mobile telephone account or I have the permission from the account holder to use the mobile telephone number. I understand that standard data and messaging rates may apply based on the plan with the mobile telephone carrier. (Mobile Number is optional) is required

Opening Deposit

  • How do you want to fund this account?

    OK How do you want to fund this account? is required
  • OK Last 4 digits of account number: is required
  • OK Initial deposit amount: is required
  • OK Financial Institution Name: is required
  • OK Financial Institution Routing Number: is required
  • OK Account Type: is required
  • OK Name on the Account: is required
  • OK Account Number: is required
  • OK Initial deposit amount: is required
    OK If you provide your contact information you authorize Fidelity Bank or its affiliates to contact you. Your authorization allows us to use text messaging and automatic telephone dialing systems in connection with calls made to any telephone number you provide, even if the telephone number is assigned to a cellular or mobile telephone service or other service for which the called party is charged. You may contact us anytime to change these preferences. is required
    OK By selecting this box I acknowledge that I am not under the age of 13 and approve submission of this information. is required

Security Code

  • OK is required