Identity Protection

 

Identity Protection Logo

 

To sign up for Identity Protection at Wilson Bank & Trust Community Financial Centers, please complete the application below and click ‘Submit.’ Note: this product is only available with a personal account that includes a monthly statement. If you have questions about which accounts are eligible, or about any of the information requested below, please call (615) 444-BANK for assistance.

 

 

* All Fields Required

 

 

Customer Name:
Email address:
Mailing address:
City:
State:
Zip:
Last 4 Digits of Social Security Number:
Date of Birth:
Phone:
 
Payment Method:

Monthly Debits of $8.95
(withdraw from account # )
Please note: each individual who signs up must use a different account number.
Day of the month I'd like my account to be debited each month:
15th
28th
 

 

I am enrolling in a program to guard against theft of my personal information.  The premium for the program will be debited from my account on a monthly basis.  I understand that my enrollment will be automatically renewed unless written notification is sent to Wilson Bank & Trust.
 

Retype the code from the picture
CAPTCHA Code Image
Speak the code Change the code