Agreement to Receive Checking Account Statements via
E-Mail.
Name:
Address:
City:
State:
Zip:
SSN:
Checking
Acct #:
Daytime
Phone:
Email:
Password
for Statements:
12
characters minimum with Upper Case, Lower Case, Numbers & Special
Characters!
Please sign me up for CBETN’s
Secure E-Mail Statements to be delivered to my email address stated
above.I understand that my
statements will be sent to me encrypted and I must use my password designated
above to open the statement.I
also understand that I may, at any time, revoke this agreement and
receive my statements via US Postal Service by providing notice in
writing to The Citizens Bank of East Tennessee.
I further understand that in order
to open the Secure E-Mail Statement I must download and install on my
computer a free version of Adobe Acrobat Reader version 7 or
greater.This software can be
found at:http://www.adobe.com
Signature
________________________________________ Date
______________
Upon receipt of your signed agreement we will begin
emailing your statements on your next statement cycle.Please note that at any time you may
still come into any branch and get a printed copy of your statement and
check images!
This form can only be processed with your signature. Use one form for each individual account.
Type the information in this application online, print it, sign it and send
it to:
The Citizens Bank of East Tennessee P.O. Box 550, Rogersville, TN37857
Phone 423-272-2200Fax
423-272-2322