Business Banking Questionnaire


Notice: E-mail is not a completely secure channel of communication. We ask that you limit your use of the e-mail form below to request general information about our customer services and products or general feedback about our website. We strongly suggest that you do not e-mail sensitive account information such as your Inland Bank Debit card number(s) or other account number(s), Social Security number, PIN, mother’s maiden name, or passwords.


Please answer the following questions when considering your preferences for a checking account.

 1. How did you hear about Inland Bank?

 2. What type of business do you have?

 3. Location of business:

 4. Do you own, lease or work from a home office?

 5. Number of employees:

 6. Is your business a:

 7. What features interest you?




 9. What type of services do you currently use or would like to know more about?

Treasury Management Services

12. What can we do to make your banking experience a 10?



By providing contact information, you can expect a call from an Inland Bank personal banker by end of next business day.



How would you like to be contacted?

Contact Number Email Address:

Your Preference for a return call time (a.m./p.m.):

What Branch is most convenient?




Please Note: Do not include any confidential information on this form.