Reg E Opt In/Opt Out Form

Name:

OK Name: is required

E-mail:

OK E-mail: is required

Joint Account Holder's Name:

Optional OK Joint Account Holder's Name: is required

I DO want FNB Community Bank to authorize and pay overdrafts on my ATM and everyday Debit Card transactions.
I DO NOT want FNB Community Bank to authorize and pay overdrafts on my ATM and everyday Debit Card transactions.

OK Mark your choice below: is required

Please list checking account number:

OK Please list checking account number: is required

OK is required

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