Please fill out our simple application for a personal money market or time deposit account with Celtic Bank. If you have any questions or need any help regarding this application, please call 801.363.6562 and ask for accounting.

Primary Account Holder Information
First Name
Middle Initial
Last Name
Social Security #
Date of Birth
Driver's License # (or Passport)
State of Issuance
License/Passport Exp. Date
Home Phone
Work Phone
Cell Phone
Email Address
Employer
Occupation
Joint Account Holder Information
First Name
Middle Initial
Last Name
Social Security #
Driver's License # (or Passport)
Date of Birth
State of Issuance
License/Passport Exp. Date
Home Phone
Work Phone
Cell Phone
Email Address
Employer
Occupation

Primary Street Address (Cannot be PO Box)
City, State & Zip
Mailing Address (if different from above)
City, State & Zip
Street Address (Joint Account holder if different)
City, State & Zip

To view Celtic Bank's Privacy Policy please click here.

Please sign and fax all applications to
801.363.6562 Attn: Time Deposits OR mail to:

Celtic Bank
Attn: Time Deposits
268 South State Street, Suite 300
Salt Lake City, UT 84111