1. Reason you selected our Bank: (select all that apply)

Media Name 
  Convenient Hours    
2. Please check the column that indicates whether you agree or disagree with the statements listed below.

Bank Staff

Strongly Agree Agree Disagree Strongly Disagree
  Are Friendly
  Are Knowledgeable
  Complete Transaction Accurately
  Are Helpful
  Complete Account Opening Promptly
3. Were other bank services offered and explained to you?
4. About which product or service would you like more information? (select all that apply)  
5. What bank are you transferring your funds from? 
6. Do you currently use a computer?
7. Are you currently using the internet?
8. If you use the internet, have you signed up for Internet Banking service? No
9. Please provide your e-mail address for our records.* (optional) 
  *Strictly for the use of the First National Bank of Niagara.  Will not be sold to outside parties and will be kept confidential at all times.

Phone: 715-251-3113
Toll Free: 866-676-9544
Email: info@niagarabank.com
Mailing Address:
P.O.Box 25
Niagara, Wisconsin 54151-0025