Freedom Club Enrollment Form
Join the Freedom Club by choosing one of the following membership options:
Maintain $500 balance in a Frontier Bank checking account and have a monthly automated clearing house (ACH) deposit
Maintain $5,000 balance in any combination of Certificates of Deposit (CDs)
Relationship with Frontier Bank Wealth Management & Trust
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First Name
(Required.)
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Last Name
(Required.)
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Date of Birth (MM/DD/YYYY)
(Required.)
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Street Address
(Required.)
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City, State and Zip Code
(Required.)
Email Address
*
How did you hear about the Freedom Club?
(Required.)
Website
Social Media
Frontier Bank Employee (Please list name below)
Friend (Please list name below)
Other (please specify)
If you were referred to the Freedom Club, please list the individual who referred you here.
Would you like to enroll a spouse?
A joint account covers both husband and wife. If one spouse is 50 or over, both individuals are eligible for membership.
Spouse's name, if applicable.
Spouse's date of birth
