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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.

We need your consent to begin sending your bank statement(s) to you electronically. By accepting this agreement, you are agreeing to have your bank statement(s) sent electronically, you also agree to notify the Bank immediately of any changes in your email address or any errors or complications relating to the electronic receipt of your bank statement(s).

If you elect to receive your statement(s) through electronic delivery, the Bank will no longer send your statement through U.S. mail.

Your consent, which will be given by this consent and agreement and providing it to the Bank will authorize the Bank to forward to you electronically your periodic bank statement(s) and any other disclosures that the Bank might send to you with your bank statement(s), such as electronic funds disclosures or other required disclosures to your accounts.

To discontinue this electronic delivery service, you can send notice of discontinuing this service to the following address: Customer Care, Partners Bank, 900 Main Street, Sanford, ME 04073. We will not charge any fee for discontinuing this service.

The same terms apply with respect to electronically delivered bank statements as for those delivered in paper form and the deposit agreements and disclosures that you previously received from the Bank remain in effect.

It is recommended to have the latest version of PDF reader installed on your PC to view electronic statements.

You agree that in no event will the Bank be liable for any technical, hardware or software failure of any kind, any interruption in the availability of our service, any delay in operation or transmission, any incomplete transmission, computer virus, loss of data, or other similar loss.

The Bank may change, suspend, or eliminate all or any aspect of this delivery service upon notice to you.

You agree that any claim or controversy relating to this consent and agreement will be settled by binding arbitration in accordance with the Commercial Arbitration rules of the American Arbitration Association. You agree that any claim or controversy you may have will be arbitrated on an individual basis and will not be considered consolidated in any arbitration with any claim or controversy of any other party. You agree that the arbitration will be conducted in the city in which the Bank’s main office is located and any court having proper jurisdiction may enforce that judgment on the arbitration award.

You agree that this consent and agreement is governed by the laws of the State of Maine, excluding any application of conflicts of laws, rules, or principles. You agree that the sole jurisdiction and venue for any litigation arising from your use of our service shall be an appropriate federal or state court located in York County, Maine.

I have read and agree to the above Agreement for Electronic Statement delivery. This agreement is binding for all accounts I currently hold or open in the future and can be withdrawn by sending a written request to the Bank. Notice of withdrawal must be received by the Bank 10 days prior to the statement print date to effect a change.

Rev 8/2023



    I want electronic statements*



    Social Security Number or Tax ID Number:

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

    List the last four digits of the account numbers for which consent is provided:

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