Enroll in Wealth Online - Park National Bank

Wealth Online Access

To enroll in wealth online access, please complete this application and submit.

I am a(n):(Required)

Name(Required)

First Middle Last

Last four of SSN(Required)

Date of Birth(Required)

My Trust location is:(Required)

My Client's Account Location is:(Required)

Company Name/Outside Investment Advisory Firm(Required)

Please answer this question if you're using a third-party outside investment advisor.

Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Email Address(Required)

Phone Number(Required)

Type of Phone(Required)

Cell Phone

Home Phone

Work Phone

Account 1

Account 3

Account 2

Digital Wealth Management Services Terms and Conditions*(Required)

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If this is a joint account, all owners MUST register separately if both want access.

Authorizer Name

Designation

Date

Authorizer Name

Designation

Date

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