Deposit Account Interest Form

1

Do you currently live in Central or Eastern North Carolina?* This field is required.

YESNO

2

Enter your name, please* This field is required.

First Name

Last Name

3

Which branch is closest to you?* This field is required.Please select an option below

Cary

Morehead City

Greenville

New Bern

Havelock

4

What is the best way to reach you?Please enter your phone number and email address

Please enter your phone number

Please enter your email address

5

What account(s) are you interested in?Savings, Checking, Money Market, or CD?

6

Would you like to receive communication on other products and promotions?

YESNO