Customer Account Application
Please indicate whether you intend to apply for an individual or joint account. Applicants for joint accounts should complete the applicable secondary account owner sections of the application. You must be a U. S. Citizen with a U.S. address residing within our market area and have a valid Social Security number to apply online.
* indicates a required field
Applicant Information
Primary Account Owner
State*
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AL
AK
AZ
AR
CA
CO
CT
DD
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Number of Years at this address:
Own/Rent*
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Own
Rent
Live with Family/Other
Phone Number: *
Preferred method of contact*
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Home
Cell
State Issued*
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AL
AK
AZ
AR
CA
CO
CT
DD
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Secondary Owner (for Joint Account)
Current Address
State*
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AL
AK
AZ
AR
CA
CO
CT
DD
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Number of Years at this address:
Own/Rent*
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Own
Rent
Live with Family/Other
Phone Nunber: *
Preferred method of contact*
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Home
Cell
State Issued*
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AL
AK
AZ
AR
CA
CO
CT
DD
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
After submitting this application a BSNB employee will call you within one business day to confirm the information contained in this application. During this call you’ll be asked to arrange a convenient time to visit a branch location of your choice to sign signature cards, provide proof of identity, order checks and/or ATM Debit Cards and/or complete the savings overdraft transfer documentation. Account signature card(s) are available for signing within three business days of application.
If you have any questions, please contact us at (518) 885-6781 , or through our online guestbook . Thank you for choosing BSNB.
If the application is approved, what branch is most convenient for you?
Primary Branch Location*
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Ballston Spa - 87 Front Street, Ballston Spa, NY 12020
Burnt Hills - 770 Saratoga Road, Burnt Hills, NY 12027
Clifton Park - 1714 Route 9, Clifton Park, NY 12065
Corporate Branch - 990 State Route 67, Ballston Spa, NY 12020
Galway - 5091 Sacandaga Road, Galway, NY 12074
Greenfield Center - 3060 Route 9N, Greenfield Center, NY 12833
Guilderland - 1973 Western Avenue, Albany, NY 12203
Latham - 1202 Troy Schenectady Road, Latham, NY 12110
Malta - 124 Dunning Street, Malta, NY 12020
Milton Crest - 344 Rowland Street, Ballston Spa, NY 12020
Stillwater - 428 Hudson Avenue, Mechanicville, NY 12118
Voorheesville - 13 Maple Road, Voorheesville, NY 12186
Wilton - 625 Maple Avenue, Saratoga Springs, NY 12866
How Did You Hear About Us?
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BSNB Branch
Internet
Email
Newspaper
Radio
TV
Flier
Existing Customer
Other
Disclosure
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means to you: When you open an account, or apply for a loan, we will ask your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
Certification:*
Please note, this application is subject to verification and approval. In order for us to process your application correctly, we will contact the primary account owner by telephone to verify the information provided and may request additional documentation. When you submit this application, you also agree that this Institution reserves the right to review your eligibility through an authorized third party service provider.
By typing in the owner's name and clicking the submit button below, I(we) hereby certify that everything stated above is correct.
Submit