ESIGN ESIGN Enrollment Authorization Form(For APPRAISALS ONLY) Please complete the ESIGN Enrollment Authorization form. Client Information *Full Name: * *Email Address: * Business Name: Phone: * Authorization Step 1 - Print Agreement You must complete all steps before submitting View and Print Bank of the James ESIGN Agreement and Disclosure. Agree to ESIGN Agreement and Disclosure * I agree to the Bank of the James ESIGN Agreement and Disclosure. Step 2 - Authorization ESIGN Enrollment Authorization I authorize Bank of the James to establish an ESIGN service for me. I acknowledge receipt of, and agree to be bound by, the terms and conditions of the Bank of the James ESIGN Agreement and Disclosure, which includes important terms and conditions for the ESIGN service. Acknowledge ESIGN Enrollment Authorization * By checking this box, I acknowledge that I have read and understand the ESIGN Enrollment Authorization above Step 3 - Verification Enter Verification Code from printed agreement here: Acknowledge wish to enroll in ESIGN and Agree to Agreement and Disclosure * I acknowledge that I wish to enroll in ESIGN and I agree to the ESIGN Agreement and Disclosure Verification Code * Submit Enrollment Form Timestamp * If you are human, leave this field blank.