STRATEGIC CAPITAL BANK
BUSINESS BANKING ENROLLMENT FORM


Use this form to enroll for Cash Management services



Section 1 - Customer Information
Company Name:
Address: 
City:   State:     Zip Code:
Tax ID Number
Phone: () -         Fax: () -
Email Address:


Section 2 - Cash Management User Authorization
Please complete a separate user authorization form for each individual.  Each cash management user must be  established with an individual password and wire transfer PIN, if applicable.  Each user may be allowed access to any or all cash management functions, and any or all transaction accounts depending on access levels.

User Name:
Email Address:

Allow Access to:
Transfers Work with ACH Trans. range inquiry
Downloads Display ACH Input non-rep wires
Statement inquiry Initiate ACH Edit non-rep wires
Stop inquiry Upload ACH Define rep wires
Stop additions Full ACH Control Input rep wires
Administration Current day balance Transmit wires
Transaction inquiry Prior day balance Full wire control


Allow View of:
Demand accounts Time deposits Loans
Savings/Money Market IRA accounts Safe Dep Box



Section 3 - Select the Accounts the User May Access
Account NumberType of Acct.
Checking Loan C.D.
Checking Loan C.D.
Checking Loan C.D.
Checking Loan C.D.
Checking Loan C.D.


Section 4 - Online Bill Payment Option
Online Bill Payment is not rquired for enrollment in Capital Access Online Banking. A separate Customer ID number and security code will be issued for initial access to Online Bill Payment.

Include Bill Payment Option with my enrollment
Add Online Bill Payment to my existing Capital Access banking services

Primary Checking Account:
Please designate a checking account number that will be used for bill pay services.

Checking Account Number:
If you wish, you may add another name to your online bill payment account. For example, this would be useful if you wanted to pay a bill which is in your spouse's name.
First Name:     MI:     Last Name:

Section 5 - Signature
I hereby authorize Strategic Capital Bank to establish cash management services and to provide authorized users access to the account(s) as listed above. I will notify the bank immediately if I have reason to believe the security of my account(s) has been compromised in any way. All instructions delivered via Capital Access Online Banking and Cash Management will be deemed to be authentic, written authorization to charge or credit my accounts for transactions indicated. All such transactions are subject to Strategic Capital Bank's Deposit Account Terms and Conditions, Funds Transfer Terms and Conditions, Clearing House Association Rules, rules of the Board of Governors of the Federal Reserve System and their operating circulars, and Article 4A of the Uniform Commercial Code. I agree that Strategic Capital Bank may electronically deliver any notices and disclosures required by law.

Printed Name: ______________________________________________     Date: ________________

Signature: __________________________________________________     Date: ________________


Please return your signed enrollment form to Strategic Capital:

Mail To:
Strategic Capital Bank
Online Banking
1608 Broadmoor Dr.
Champaign, IL 61821
Fax To:
ATTN: Online Banking
(217) 398-1661