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First Legacy Credit Union

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First Legacy Credit Union document sample

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									                                                                                                                                                                                   OPT IN
                                                                                                                                                                                    Form
                                                                                                                                                                               Effective July 1, 2010


Please mail this form to First Legacy Community Credit Union, PO Box 16285, 431 Beatties Ford Road, Charlotte, NC 28216, Fax: 704-375-8682, email info@firstlegacyccu.org, or drop off at any of our locations.


    I DO NOT WANT First Legacy Community Credit Union to authorize and pay overdrafts on my ATM and everyday debit card transactions.

    I WANT First Legacy Community Credit Union to authorize and pay overdrafts on my ATM and everyday debit card transactions.

                                                                                                              If this form is not returned, we must assume that you
                                                                                                                DO NOT WANT Overdraft Protection to cover your
 Printed Name
                                                                                                                     ATM and everyday debit card transactions.
 Account Number (one account per Form – please photocopy for additional accounts                                                This service will then be removed
                                 Form – please photocopy for additional accounts
 Account Number (one account per Form – please photocopy for additional accounts)
                                                                                                                                    effective August 15, 2010.
 Signature                                                                         Date

 Signature                                                                         Date
                                                                                                               Please contact us at 704-375-5781 or visit any of our locations
                                                                                                                       for us to answer any questions you may have.

                                                                                                                 First Legacy community credit union
                                 FOR INTERNAL USE ONLY
                                                                                                                            www.firstlegacyccu.org

              Date Received               Date Processed                Initials




                                                                                                  NCUA

								
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