Contact Us Contact Us Main Office: 1051 Perimeter Drive Schaumburg, IL 60173 (847)427.7800; (847) 427.7801 Fax 100 W. North Avenue Chicago, IL 60610 (312) 664.4320; (312) 664.4289 Fax 501 W. Lake Street, Suite 106 Elmhurst, IL 60126 (630) 246.5060; (630) 279.5374 Fax 500 Skokie Blvd, Suite 100 Northbrook, IL 60062 (847) 256.6010; (847) 272.7570 Fax Easy Retrieve Telephone Banking: (866) 431.6991 REPORT A LOST OR STOLEN ATM/ DEBIT CARD: CLICK HERE E-mail is not necessarily secure against interception. If your communication is very sensitive, or includes personal information such as your account numbers, credit card number or social security number, you may want to call us or send it through the U.S. Post Office instead. How would you like to use this form? Check all that apply General Comments Request Product Information Request CD Rate Quote Request Loan Rate Quote How would you like us to answer you? Telephone Fax Regular Mail E-Mail General Comments: Request Product Information Lending Products Automobile Loan Home Equity Loan Home Equity Line of Credit Home Improvement Loan Mortgage Loan Mortgage Refinancing Commercial Loan Deposit Products Business Checking Money Market Account Personal Checking Accounts Personal Savings Accounts Investment Products Certificates of Deposit Retirement Accounts Other Products or Services Request CD Rate Quote Amount: CD Term: Months Years How would you like your interest payments? Monthly Quarterly Semi-Annually Annually Until Maturity Is your principal CD amount from your IRA? No Yes Your Comments (if any) Loan Application Request Amount Requested: Term: Months Years Purpose of Loan: Are you a present customer of our bank? Yes No Would you like us to contact you to set up appointment for application? Yes Please Complete This Section Your Name Company Name (if applicable) E-Mail Address (if any) Phone Number w/Area Code Best Time To Call Fax Number w/Area Code Mail Address City, State, Zip