E-Statement Enrollment Form

To sign up for E-Statements you must be an owner of the Frazer account(s) you have chosen for E-Statements. You must complete the information below and click the "I Accept" button.

Requirements:

  • A computer/device with internet access or the Frazer Bank Mobile App
  • PDF Viewer
  • Valid Email Account

Personal Information

  • OK Name is required
  • Optional OK Business Name is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK Phone Number is required
  • OK Last 4 digits of SSN/Tax ID is required
  • OK Email is required

Choose E-Statement Options

    Optional OK Statement/Notice is delivered via Internet Banking is required
    Optional OK Statement is delivered via encrypted email attachment is required
  • OK Password to open statement/notice is required

Account Numbers

  • OK Account Number is required
  • OK Choose Account Type is required
  • Optional OK Account Number is required
  • Optional OK Choose Account Type is required
  • Optional OK Account Number is required
  • Optional OK Choose Account Type is required

    • * For additional accounts, submit another form.

Send an Additional Copy of the encrypted email attachment to

  • Optional OK Name is required
  • Optional OK Email is required
  • Optional OK Password to open statement/notice is required

Verification of Request

  • OK Account Number for verification is required
  • OK Amount of Last Deposit on this account is required
  • Optional OK Special Instructions is required

Terms of Agreement

    Upon receipt of your consent, we will provide statements/notices (hereafter referred to as "document") to you on a monthly or quarterly basis, as applicable, to a working e-mail address that you have provided us. You will be required to use a password to view the electronic document. It is your responsibility to protect your password from unauthorized persons. You agree that it is your responsibility to ensure that the electronic document cannot be intercepted or viewed by others. You understand that you have no expectation of privacy if the documents are transmitted to another e-mail address, selected by you, such as an employer or relative. You further agree to release the bank from any liability if the information is intercepted or viewed by unauthorized parties at this other e-mail address selected by you.

    By submitting this form, you agree to the terms of the agreement. You authorize the bank to send future documents for the above mention accounts to the e-mail address listed above and to receive disclosures electronically. You understand that by authorizing this E-Delivery Service you will no longer receive paper documents in the mail. You are responsible for notifying us of any e-mail address changes. You can easily update your e-mail address in your electronic banking profile or by contacting your local branch.

    If your electronic document is returned as undeliverable an attempt will be made to contact you by phone. If we are unable to obtain a valid e-mail we will cancel your E-Delivery service and your document will be delivered via US Mail to the mailing address we have on file. If that document is returned, we will put it on hold.

    Please note: In the future, if you want to stop using the E-Delivery service, please contact your branch office or update your statement preferences in the Accounts section of Electronic Banking.

    All electronic documents shall be in full compliance with applicable laws and regulations. The provisions in the agreement are part of (and in supplement to) the bank's Terms and Conditions for Depository Accounts. Each bank account that you designate to be included within the E-Delivery Service is also governed by the terms and conditions otherwise applicable to the kind of account as separately disclosed to you, either in the Terms and conditions for Depository Accounts, applications and enrollment forms, the applicable personal or business fee schedules, credit or deposit agreements, our Privacy Policy or other written disclosures.

    YOU UNDERSTAND AND INTEND THAT YOUR CLICKING ON THE "SUBMIT" BUTTON SHALL OPERATE AS YOUR ORIGINAL SIGNATURE. BY CLICKING ON THE "I ACCEPT" BUTTON, YOU ALSO ACKNOWLEDGE THAT;

    • You can access, receive, and retain notices electronically in the formats we use, and affirmatively consent to the receipt of notices electronically;
    • You have the necessary computer hardware, software, and internet access to send and receive the necessary e-mails;
    • You expressly consent to the use of electronic records for the electronic delivery of your statements, notices, and any disclosures or other communication sent to you;
    • You are authorizing Frazer Bank to replace documents with electronic versions;
    • You are consenting on behalf of all other co-owners and/or authorized signers to enroll the accounts you have selected in the service, and that you are authorized to consent on their behalf;
    • You are authorized on behalf of the Organization (if applicable) to make this request to enroll accounts for the service;
    • You have read and understand the Terms of Use, and have printed or downloaded a copy for your records

Authorization

    OK By checking this box, I acknowledge that I have read and understand the Electronic Statement Disclosure Agreement. is required

Security Code

  • OK is required