Skip Navigation Download Adobe® Acrobat Reader to view Portable Document Format (PDF)
Cogent Bank

New Account Opening Form

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

This form supports the maximum level of encryption technology your browser allows, up to 256-bit SSL encryption to protect your personal information while it is in transit. Please view our Privacy and Legal Policy for more information.

* Required
Business Information
Business Location Address
Mailing Address (if different than business location address listed above)
Contact Information
How would you prefer to be contacted? *
When is the best time to arrange an appointment? *
There was an error submitting the form

Cogent Bank reserves the right to use the above information to obtain verification of identity and background before opening accounts. We may also access information about you or your company from reporting agency. By submitting this form, you grant full permission to do so.

Thank you for your submission!

We will be in touch with you soon.