![](https://02f0a56ef46d93f03c90-22ac5f107621879d5667e0d7ed595bdb.ssl.cf2.rackcdn.com/sites/20896/uploads/31489/thumbnail_220x.jpg)
Please print out this application and sign below.
Options to submit the application are:
Options to submit the application are:
- Scan and email to abuerge@legacybankandtrust.com
- Fax the completed application to 417-823-7177
- Mail the form to 4108 S National, Springfield MO 65807 Attn: Aaron Buerge