Fax: 256-737-8900
Phone: 256-734-4863

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Apply Online - It's Safe, Secure & Easy

To begin, please fill out the fields in the form below. One of our representatives will contact you within one business day to continue the process.

This form uses 256 bit SSL encryption, ensuring that no one else will see your personal information while it is in transit. Please view our Privacy Policy for more information.

Business Information

  • OK Business Name is required
  • OK Business Type is required
  • OK Contact Name is required
  • OK Permanent Address (Not a P.O. Box) is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Optional OK Mailing Address (if different than above) is required
  • Optional OK City is required
  • Optional OK State is required
  • Optional OK Zip is required
  • Business Phone

    - -
    OK Business Phone is required
  • Business Fax

    - -
    Optional OK Business Fax is required
  • Business Cell Phone

    - -
    Optional OK Business Cell Phone is required
  • OK Tax ID Number is required
  • OK E-mail is required

Contact Information

  • Optional OK Choose the location you would like to complete your application: is required
  • How would you prefer to be contacted?

    Optional OK How would you prefer to be contacted? is required
  • When is the best time to arrange an appointment?

    Optional OK When is the best time to arrange an appointment? is required


  • OK Comments is required

Security Code

  • OK is required
  • First Community Bank reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, I/we grant full permission to do so.

  • This document is being secured using SSL encryption provided by your browser. Your information will be encrypted when using this form while in transit between your browser and First Community Bank.

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First Community Bank

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