Application Form For Savings
Accounts and Investments

(Preliminary: You will be contacted by the bank.)

HomeTown Bank is restricted, in most cases, to
serving our home and contiguous counties.

Member FDIC

Name:
Address:
City:
State:
Zip:
Telephone:
Fax:
Email:

Passbook Savings Account
Complete this if you are seeking a Passbook Savings Account		  
Passbook savings amount of initial deposit:

Certificates of Deposit
Complete this if you are seeking a Certificate of Deposit		  
Dollar amount of CD being considered:

Complete below for Regular CD only (does not apply to Secure CD)  
Term (# of months) you are considering for this CD:

Passbook Savings
Please contact me via:
Certificates of Deposit

Type any questions you have here, and
we will gladly respond with the answers: