Please fill out the fields in the form to the right. One of our representatives will contact you within one business day to complete the process.

IMPORTANT NOTICE: This is an initial application for account opening with RiverBank. This application will be processed and a follow-up phone call and/or email will be sent requesting additional information and identification prior to the account being opened.

This initial application does not give RiverBank employees a right to run credit or start the mortgage loan process.

If application is approved, please allow up to 1 - 2 business days for RiverBank personnel to contact you. All applications are subject to review and RiverBank does not guarantee an account will be opened.

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Are you a new customer?

Yes

No

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Phone

(###)

###

####

Mother's Maiden Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

What type of loan are you interested in?

Choose the location you would like to complete your application/account

When is the best time to arrange an appointment?

Morning

Lunchtime

Afternoon

If you would like us to call you at a specific time during our open hours, please indicate here:

Monday - Thursday 8:30am-4:30pm Friday 8:30am-5:00pm

Small Business Administration Loan Program