Please print out and complete the following application and mail or fax to:
Milford Federal Savings & Loan Association
Attn: EZ BankNet
P.O. Box 210
Milford, MA 01757-0210
Fax: (508) 478-1561
Yes! I want instant access to my personal finances!
This application will give you access to your current Milford Federal
accounts. Once your application has been received and processed, you will
be notified by email. The first time you access your account, you will
be required to change your password for future access. Protect the secrecy
of your username and password. If you believe the security of your username
or password has been compromised, change your password immediately and
promptly notify us.
ACCESS OPTIONS
___ Sign me up for EZ BankNet at no charge.
___ I also want the convenience of a Bill Payment Service.
(A checking account is required.)
I hereby make application for Milford Federal's EZ BankNet service and agree to authorize transfers and, if selected, bill payments, and accept all risks associated with this service. I acknowledge receipt of Milford Federal’s Account Information Brochure and Electronic Funds Transfer Agreement and Disclosure, which are now in effect, and agree to all terms and conditions set forth therein, which may be changed from time to time by the Bank.
You must be an owner on all accounts you wish to access.
This information is required to assure the security of your account.
Customer Name: ________________________________________
Address: _____________________________________________
City: __________________ State: _______ Zip: _________
Home Phone: __________________
E-Mail Address: ____________________
Driver's Lic #: ________________ State: ________
Checking account number: ____________________
Social Security Number: _________________________
Date of Birth (mm/dd/yyyy): _____________________
Mother’s Maiden Name: ____________________
| All Designated Account Owners Must Sign Below: |
Signature: ____________________________ Date: ______________
Signature: ____________________________ Date: ______________
Signature: ____________________________ Date: ______________
Signature: ____________________________ Date: ______________
