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Electronic Bill Payer Enrollment Authorization
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| This form is to be used to sign up for electronic bill payment. Please PRINT * and return to the credit union for approval. |
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I authorize North Penn FCU to post Electronic Bill Payment (EBP) transactions to the account indicated on this enrollment form. I further understand that the service fee(s) associated with the chosen plan will be directly debited from the same account. I understand that I am in full control of my account. If, at any time, I decide to discontinue the service, I will provide written notification to North Penn FCU. My use of EBP signifies that I have read and accepted all of the terms and conditions of EBP service. I understand that payments take an average of 5 business days
to reach the payee, and that payments may be made electronically or by
mail. North Penn FCU is not liable for any service fees or late charges
levied against me. I also understand that I am responsible for any loss
or penalty that I may incur due to a lack of sufficient funds (per attached
fee schedule) or other conditions that may prevent the withdrawal of funds
from my account. |
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| Agreed and accepted: ____________________________________________________ | |||
| Name | Date | ||
| _________________ | ____________________________________________________ | ||
| Share Draft Acct# | Address | ||
| _________________ | ____________________________________________________ | ||
| Share Draft Acct# | Address | ||
| ____________________________________________________ | |||
| Phone Number | |||
| ____________________________________________________ | |||
| ____________________________________________________ | |||
| Signature | |||
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* If these print functions are not working in your browser please click the print button in your browser to print the form. |
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ELECTRONIC BILL PAYER FEE SCHEDULE
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Base Monthly Fee (Includes 10 Transactions)
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Fee Waived
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Transaction Fee - Each Over 10 Per Month
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.50
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Returns
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$12.00
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Stop Payment
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$15.00
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NSF
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$15.00
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Overdraft protection
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$2.00
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Inactivity Fee
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$10.00 (after 2 months of inactivity)
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 Your savings federally insured to at least $100,000 and backed by the full faith and credit of the United States Government National Credit Union Administration, a U.S. Government agency |
Legal Statement © Copyright 2001 North Penn Federal Credit Union All Rights Reserved. |
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