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Consent to Electronic Statement Delivery

Completing this form will enroll you in the Partners Bank eStatement program. You will no longer receive paper statements in the mail for the accounts you enroll in eStatements.

You can choose to receive important information required by the Truth-In-Savings Act (and related Federal Reserve Regulation DD) and by the Electronic Fund Transfer Act (and related Federal Reserve Regulation E) electronically. Read this notice carefully and keep a copy for your records.

You can choose to receive the following information in paper form or electronically: periodic statements showing Annual Percentage Yields, fees and other terms of our deposit accounts and monthly statements (collectively, “periodic statements”). If you consent to receive your periodic statements electronically, all such periodic statements will be sent electronically unless you withdraw your consent. You have the right to withdraw your consent to have the periodic statements provided in an electronic format by contacting us.

To update your electronic address after consent or if you have questions about receiving disclosure or need technical or other assistance concerning these disclosures, contact us at 1-888-226-5747 or locally at 207-324-2285.

If you wish to also receive a paper copy of a periodic statement after you consent to electronic disclosures, you may request it by calling the number indicated above. However, the standard duplicate statement fee will apply; see our rate and disclosure brochure for current fees.

Note: To receive this information electronically, you will need: the hardware to support Chrome, Firefox or Safari web browsers and Adobe Reader. For security reasons, we recommend that you download the latest version to your computer.

Please indicate how you would like to receive this information:

 

    I want electronic statements*

    Name:

    Email:

    Social Security Number or Tax ID Number:

    *Note: Loans, Mortgages and Retirement accounts cannot be enrolled in eStatement.

    List all account numbers for which consent is provided:

    Date:
    Note: Internet Explorer users must use YYYY-MM-DD format