Adobe® Acrobat® Reader® is required to complete these E-Banking Forms. If you don't have this software you may download it with the link below.
NOTE: Adobe Reader does not save the data that you enter into form fields. If you chose to electronically complete this form, you will only be able to print it. To save the data that you enter into form fields, you will need the full version of Acrobat instead of Acrobat Reader.
Sign me up...
for the Heritage Bank of Central Illinois On-Line Banking service!
It's as simple as downloading one of the forms below.

With these files, you have two options. First, you may print and complete it by hand. The other option is to complete it from within Acrobat Reader. Just type in the information requested in the space provided. When you've completed the form, just print it out and fax or mail it using the information below.

Please be sure to sign and date the form before sending us your information. We require a signature to be on file at the bank before the requested service can be processed.

Business & Personal
Heritage Bank
Business & Personal Electronic Banking Application
(200 KB)
Special Services
Heritage Bank
Special Services Electronic Banking Application
(200 KB)
You may Mail or FAX your
Online Banking forms to:

Heritage Bank of Central Illinois
Attn: E-Banking Department
615 N. Trivoli Ave.
Trivoli, IL 61569

FAX: 309.362.2698
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