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TOTAL CHOICE FCU COURTESY PAY OPT-OUT

Effective 7/1/2021, Total Choice FCU will offer a discretionary courtesy (or service) to eligible checking account members. This Overdraft Privilege Payment Service (Courtesy Pay) is an over-draft protection service automatically added to your account for checks, automatic bill payments and other debit transactions. With this service if the credit union receives an item that would cause your checking account to go below zero, as a courtesy we may pay the item(s) up to a specified amount including an over-draft service charge of $38.00.

PLEASE COMPLETE THIS FORM TO OPT-OUT OF THIS SERVICE.

By opting out of this service, you acknowledge that items presented for payment on your checking account will be automatically RETURNED, and an over-draft service charge of $38.00 will be assessed.

REQUEST TO OPT-OUT OF OVER-DRAFT PRIVILEGE PAYMENT (COURTESY PAY) SERVICE

Name

First Name

Last Name

Phone Number

(###)

###

####

Email Address

Account Number

Checking Account Suffix

Member Acknowledgment of Opting-Out of Overdraft Privilege Payment Service

I acknowledge that the credit union will automatically return any items presented for payment against my checking account when there are non-sufficient funds available.

I acknowledge the credit union will assess a $38.00 service charge for the NSF item return

*Required Field