Electronic Statement Form Name: _________________________________ Account #: ______________   Email Address: __________________________________ I do want to receive my statements by email (Please check appropriate): ___ Yes ___ No Important Notes Your first e-Statement will not be available until the first week of the statement cycle following activation. For example, if you request e-Statement activation in January, your first e-Statement will be available in the first week of February (assuming you normally receive monthly statements). Your e-mail address must be up to date in order to receive notification of your e-Statement availability each statement period. Without a correct e-mail address we will have to switch you back to mailed paper statements only for subsequent periods. If you later decide to change whether or not you wish to continue receiving paper-based statements, or if you want to change the e-mail address used for e-Statement notification, you may make the changes by sending us an e-mail @ members@spectrumfcu.org or write to us at P.O. Box 193919, San Francisco, California 94119-3919 Your e-mail address will not be sold, given, or made accessible to other companies or organizations without your expressed permission. It will be used for e-Statement notification, and will be kept securely on file at Spectrum FCU as part of your personal contact information. Billing- Error Rights and Electronic Funds Error Resolution Notice If you think your statement is wrong, or if you need information about a transaction on your statement, write to us at P.O. Box 193919, San Francisco, California 94119-3919 as soon as possible. We must hear from you no later than 60 days after we sent you the first statement on which the error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter, give us the following information: (1) your name and account number (2) the dollar amount of the suspected error, (3) a description of the transaction you are unsure about and a clear explanation of why you believe there is an error or why you need more information. We will investigate your complaint and will correct any error promptly. For electronic transactions, if we take more than 10 business days to do this , we will recredit your account for the amount you think is in error, so that will have use of the money during the time it takes us to complete our investigation. You do not have to pay any amount in question while we are investigating, but you are still obligates to pay the parts of your bill that are not in the question. While we investigate your question, we cannot report you as delinquent or take any action to collect the amount you question. Signature _________________________________ Date: ______________