Cross Keys Bank of St. Joseph, LA

Account Conversion Form

Personal Information

Name
OK Name is required
Email
OK Email is required
Mailing Address
OK Mailing Address is required
City
Optional OK City is required
State
Optional OK State is required
Zip
Optional OK Zip is required
Home Phone

- -

OK Home Phone is required
Cell Phone

- -

Optional OK Cell Phone is required

I wish to be converted to the following checking account:

- Gold Key Rewards Checking – No minimum balance requirements and no monthly service fee. Your money will earn a variable interest rate. The only qualifications are 12 debit card transactions (clear and post each cycle), 1 ACH transaction (direct debit or direct deposit clear and post each cycle), and primary account holder enrolls in internet banking and receives monthly statement electronically a.k.a. eStatement.
- Basic Checking Account – No mimimum balance is required for this account. The monthly service fee of $5.00 is waived if a balance of $1,500.00 is maintained or primary account holder enrolls in internet banking and receive monthly statement electronically a.k.a. eStatement.
- Key Checking Account - No mimimum balance is required for this account. This account includes eStatements, Travelers © ID Theft Protection, Accidental Death and Dismemberment Life Insurance, Free Personalized Club Checks, Free Bill Pay, Travel Discounts and many more discounts and perks.
- CKB Now Account – Earn interest on your higher balances and still have easy access to your money. Monthly service charges and per debit fees are waived if you maintain a balance of $1,500.00 or more.
OK is required
Individual Account Agreement and Disclosure
Account Number Affected
OK Account Number Affected is required

E-Signature

I/We confirm that the Internet access devices(s) I/we will use to receive the related legal disclosures, agreements and online account signature forms are secure.

- Yes, I/We Confirm
OK Yes, I/We Confirm is required
Please type the words into the box that is provided below. Words should be typed exactly as they appear.

OK is required

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Account Conversion Form

Personal Information

Home Phone

Cell Phone

E-Signature