Health Savings Accounts, Information: Bank of Cashton, Wisconsin

Bank Location & Hours of Operation

Address: 723 Main Street Cashton, WI 54619 Phone: (608) 654-5121
Fax: (608) 654-5297 Toll-Free: 1-800-205-7203

Lobby Hours: 9:00 AM to 4:30 PM (M-Th) 9:00 AM to 6:00 PM (F)
Drive-Thru: 7:30 AM to 5:30 PM (M-Th) 7:30 AM to 7:00 PM (F) 7:30 AM to 10:30 AM (Sat)

HSA - Information Request Form

E-mail Address: *
Full Name: *
Street Address: *
Mailing Address (PO Box):
City: *
State: *
Zip: *
Home Phone:
Work Phone:
Cell Phone:

Account Agent / Power of Attorney

(Someone authorized to write checks. Usually a spouse)


Full Name:
Relationship:
Street Address:
Mailing Address (PO Box):
City:
State:
Zip:
Home Phone:
Work Phone:
Do you want the Debit Card, Checks or Both? *
Would you like HSA Transfer paperwork? *
How do you want this information sent to you? *
Additional Questions/Information:

Verification Code:
Enter Verification Code: *


* Required

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