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ATHENA CREDIT UNION
E-Statement
Disclosure and Consent Form
By signing below, you agree
to accept your periodic
account statement(s) online.
Your E-Statement will include
the periodic account(s),
transaction activity for your
deposit(s), and loan
accounts.
Please return or mail a
signed copy of this form to Athena Credit Union, 1427
W.
First
Street
,
Springfield
,
OH
45504
.
You have the right to request
and receive periodic
statements in paper form and
you may withdraw your consent
to receive online statements
by giving your instructions
at any time by contacting the
credit union.
You will be able to retrieve
your online statement by
browsing to the designated
URL/web address as provided
by the credit union. After
logging onto a secure website
you will have the ability to
view your statement online.
See below for minimum
hardware and software
requirements.
There are no fees for
E-Statement online.
In order to receive
your statement for the
current month, you must
enroll by the 25th
of the month.
Minimum Hardware:
You must have a
computer capable of
establishing an internet
connection. Speed of the
computer and internet
connection may affect
performance of the
E-Statement service.
Minimum Software:
Computer must have
an Internet Explorer or
Netscape versions 4.0 or
higher with 128bit
encryption.
| ______________________________________ |
______________________________ |
| Member Signature |
Date |
| Account Number ____________________ |
|
| Account Number ____________________ |
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| Account Number ____________________ |
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| _______________________________ |
_____________________________ |
| Credit Union
Employee |
Date |
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