You must be an Authorized Representative (as defined above) on each of the accounts listed above.
All customer information listed above will be verified / validated against the records of the Bank.
All Accounts, Users, and corresponding User Access will be granted as shown above.
I acknowledge receipt of and accept the terms of the
Online Banking Service Agreement and Disclosure.
It is resolved that Bank is authorized to grant the persons listed above access as users of the Bank's Business online Banking on behalf of the company, per a resolution adopted by the Board of Directors, owners, or managing members of the Company. I certify that I am an authorized representative for the Company as listed above, and as such, I am authorized to enter into this agreement on behalf of the Company. I agree that confidentiality of a User ID and Password is the responsibility of the each user. I agree to promptly review the account activity and notify the Bank of any errors. The Bank is not liable for errors that may result from failure of any user listed to properly administer the accounts and/or properly control their password. I agree to receive important regulatory information via an electronic medium, which can be printed or downloaded for future reference.
I understand that the Bank will verify the information provided in this request against the records of the Bank for the business, authorized representative, and accounts listed. I understand that this enrollment request will not be granted should any information provided on this request not match the records of the Bank. “Bank” as defined in this enrollment is in reference to one of the following, as applicable: City Savings Bank - Deridder, LA; Coastal Commerce Bank - Houma, LA; Kaplan State Bank - Kaplan, LA; Teche Bank and Trust - St. Martinville, LA; or Tri Parish Bank – Eunice, LA. These named banks are collectively the subsidiary banks which are owned by Louisiana Community Bancorp, Inc.
Personal Account Authorization: I authorize the Bank to include my personal accounts, should any be listed above, for access under my Business Online Banking. I understand that any person or user listed above will have access to any and all personal account information as outlined above. I agree that except as stated in the Online Banking Service Agreement and Disclosure, or otherwise required by law, the Bank is not liable for any indirect, incidental, special or consequential damages including loss of profit, revenue, data, or use as a result of my personal account information being included under my Business Online Banking.
"Submit", I certify all information contained herein is accurate, I agree to all terms and conditions outlined and referenced herein, and authorize the Bank to process my request as stated above.
Date (MM/DD/YYYY) is required