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Last update: 05/22/13

ICBA Community Bank Locator: Branch Information Form If your bank is a member of ICBA and would like to have its branches listed in the Community Bank Locator in addition to your main office, please complete the form below. If you do not complete this form, only your bank's main office will appear in the Community Bank Locator. Please complete this form as many times as needed to submit all branch locations. You will be asked to update this information once a year on your "Member Profile." You may also update information more frequently by sending an email to info@icba.org. Branch locations will appear in the Community Bank Locator 1-2 business days after they are submitted.

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Your Contact Information
	Name:
	Title:
	Phone:
	E-mail Address:

Main Office Information
	Bank Name:
	City:
	State:
	Zip Code:
	Web Site:

Branch Information #1
	Branch Name:
	Address:
	City:
	State:
	Zip Code:
	Branch Manager:
	Phone:
	E-mail Address:

Branch Information #2
	Branch Name:
	Address:
	City:
	State:
	Zip Code:
	Branch Manager:
	Phone:
	E-mail Address:

Branch Information #3
	Branch Name:
	Address:
	City:
	State:
	Zip Code:
	Branch Manager:
	Phone:
	E-mail Address:

Branch Information #4
	Branch Name:
	Address:
	City:
	State:
	Zip Code:
	Branch Manager:
	Phone:
	E-mail Address:

Branch Information #5
	Branch Name:
	Address:
	City:
	State:
	Zip Code:
	Branch Manager:
	Phone:
	E-mail Address:

Branch Information #6
	Branch Name:
	Address:
	City:
	State:
	Zip Code:
	Branch Manager:
	Phone:
	E-mail Address:

Branch Information #7
	Branch Name:
	Address:
	City:
	State:
	Zip Code:
	Branch Manager:
	Phone:
	E-mail Address:
If your bank has more than seven branches, please submit this form as many times as needed.


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