Regulation-E Opt-In/Opt-Out
The items marked with (*) are required fields.
*
Name
*
Account Number
*
Checking
Savings
* (Sh. 01) NSF only; Not ODP eligible*
Other
*
Email Address
*
Phone Number
*
OPT-IN/OPT-OUT
Status
I choose to OPT-IN
I choose to OPT-OUT
CLICK HERE to read the disclosure
*
Check the checkbox to acknowledge that you have read the disclosure
CLICK ONLY ONCE