If you are interested in opening a business account, please complete the following 
information and we will send you the necessary documentation.

Business Account Information (Please Print):

Business Name on Account:
Business Address (PO Box not acceptable):
City: State:   Zip Code:
Telephone Number:     Fax Number:
Name of person completing this request:
Title:

Special Instructions:

Please Note:

1. Print and mail this page to us at:

   INTERVEST NATIONAL BANK One Rockefeller Plaza, Suite 400 New York, NY 10020-2002

   OR

   INTERVEST NATIONAL BANK 625 Court Street Clearwater, FL 33756-5528

    
2. You can also fax it to us at 212-218-8390 (NY) or 727-441-4784 (FL). We will send you the required documentation to open the account you requested. Each authorized signer on the account must provide 2 forms of identification, one of which must be a photo ID. In addition, each signer on the account must provide us with his/her social security number. We cannot open the account without this information.
   
   
3. You must indicate the actual address of the corporation on the account forms. (PO Box locations are acceptable for mailing purposes only).
   
   
4. Accounts will only be opened when the completed documentation is received together with the opening deposit. We cannot hold rates. Certificates of deposit will receive the rate in effect at the time the account is opened.

Thank you for banking with Intervest National Bank.