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BB&T

NEW ACCOUNT APPLICATION

NAME: __________________________________________________________________________________________________________
SUB-TITLE:____________________________________________________________________________________________________
SSN: ______-____-________ DOB: _______________________________________________________________________________
MOTHERS MAIDEN NAME: _________________________________________________________________________________
PHYSICAL ADDRESS: ________________________________________________________________________________________
CITY: _________________________________STATE: __________________________ZIP CODE: __________________________
MAILING ADDRESS: __________________________________________________________________________________________
CITY: _________________________________STATE: __________________________ZIP CODE: __________________________
DRIVERS LICENSE NUMBER/STATE: _____________________________________________________________________
ISSUE: _______________________________________________EXPIRATION: __________________________________________
HOME PHONE NUMBER: ____________________________________________________________________________________
CELL PHONE NUMBER: ______________________________________________________________________________________
E-MAIL ADDRESS: ____________________________________________________________________________________________
EMPLOYER: ___________________________________________________________________________________________________
OCUPATION: _______________________________________________SINCE MONTH/YEAR: ________________________

ONLINE BANKING ACCOUNT INFO


USERNAME OPTIONS (Must contain between 8 and 15 Characters letters and numbers no special symbols)
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