Name - Primary Account Owner/Signer:

Name - Joint Account Owner/Signer:

Name - Business Account (if applicable):

Name - Business Account (if applicable):

Email:

Email:

Account Information
Type and the Account Number for each account that will be accessed using Online Banking. Please note all accounts(s) must have the same ownership as the individuals(s) indicated above.


Account #:


Account #:


Account #:


Account #:

Online Banking Terms and Conditions Agreement
I (We, if joint account holder) have reviewed the "Internet Banking Agreement & Disclosure" for Carolina Bank Online Banking service and accept terms and conditions contained therein. By using the online financial services provided by Carolina Bank, I/We agree to abide by the terms and conditions of this agreement.

Acknowledge your agreement to our policies by typing your name as it appears on your account into the box below. If this is a joint account, both boxes must be filled.