MIDFLORIDA, What a Bank Should Be

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About eStatement Signup


Complete the application below and you’ll be on your way to receiving your monthly account statement electronically.


First Name:
Last Name:

Account Number:

You must complete this form for each different account for
which you are a signor. (ex. your account, your child's account)

SSN (last 4 digits):


Home Phone Number:
Daytime Phone Number:

Email Address:



To complete the signup process, you will need to accept the eStatement Terms & Conditions electronically. If you are already an Online Banking user, the Terms & Conditions will be made available to you upon login by completion of the next business day. If you are a new Online Services user, a PIN will be mailed to you which will allow you to setup your new username and password and accept the Terms & Conditions.