Associate Services Application Form | Community Bankers of Iowa (CBI)

Join the growing list of Associate Partners of Community Bankers of Iowa. For more details please contact please contact Ross Dickinson at 515-453-1495 or via email rdickinson@cbiaonline.org.

To apply, download the Associate Membership Application Form, or use our online form below.

View Associate Services Members

See Associate Member Benefits

PLEASE NOTE: CBI ASSOCIATE MEMBERSHIP STATUS IS SUBJECT TO APPROVAL
BY THE COMMUNITY BANKERS OF IOWA BOARD OF DIRECTORS.

Associate Services Application Form

* Indicates required field

Business Name *

Mailing Address *

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Line 2

City

State

Zip Code

Country

Physical Address (if different from above) *

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Line 2

City

State

Zip Code

Country

Phone Number *

Fax Number *

Type of Business *

Please list services you can provide our member banks *

What would/can Community Bankers of Iowa do to enhance the value of your investment? *

Principal Company Contacts:

Contact 1 *

First

Last

Title *

Email *

How do you prefer to receive information? *

Email Phone Regular Mail

Contact 2 *

First

Last

Title *

Email *

Receive CBI mailings and correspondence? *

Yes No

How do you prefer to receive information? *

Email Phone Regular Mail

Branch Location *

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Line 2

City

State

Zip Code

Country

Phone Number *

Corporate Email *

Fax Number *

Contact Name and Title *

Branch Location 2 *

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Line 2

City

State

Zip Code

Country

Phone Number *

Corporate Email *

Fax Number *

Contact Name and Title *

Branch Location 3 *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Corporate Email *

Fax Number *

Contact Name and Title *

Branch Location 4 *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Corporate Email *

Fax Number *

Contact Name and Title *

Include any additional information (optional). *

Upload File *

Max file size: 20MB

You may also use the Upload File option to submit additional files or information that you wish to include with your application. Files are accepted in the following formats: PDF, Word Doc (.doc or .docx), Excel (.csv, .xls or .xlsx), TXT, RTF, or Powerpoint. To send two or more items at once, please send a compressed file. Compressed files containing multiple documents can be accepted in ZIP format.

Corporate Logo – To help us effectively promote your company we will need your logo
(color and B & W) in one of the following formats: Hi Res JPEG, Hi Res PSD (Photoshop), Hi Res PDF, or vector Illustrator EPS (preferred). ("Hi Res" indicates 250 dpi or better.) To send two or more items at once, please send a compressed file. Compressed files containing multiple documents can be accepted in ZIP format. Upload using the submission button below:

Upload File *

Upload your company logo. Max file size: 20MB

Submit Your Application

PLEASE NOTE: CBI ASSOCIATE MEMBERSHIP STATUS IS SUBJECT TO APPROVAL
BY THE COMMUNITY BANKERS OF IOWA BOARD OF DIRECTORS.

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