Overdraft Priviledge Service Opt In Form


* indicates a required field


Primary Accountholder Information

*Name:
Business Name:
*SSN/TIN:
*Date / /
Opt In for ATM/Debit Card Transactions:
I want Putnam Bank to authorize and pay overdrafts on my ATM and everyday debit card transactions. I understand that I may revoke this authorization by either calling or writing to Putnam Bank and expressing my intent to revoke this authorization.
Opt In for Standard Overdraft Priviledge Service:
I want to have the standard overdraft priviledge service added to my account(s) listed below. I understand that Putnam Bank will provide overdraft priviledge service protection, as disclosed to us. I further understand that in order to have Putnam Bank apply the overdraft priviledge service the accounts must be in good standing at the time of the request.
Opt Out of all Overdraft Priviledge Services:
I do not wish to have the standard overdraft priviledge service limit applied to the account(s) listed below and want the service removed from the account(s). I understand Putnam Bank will not provide overdraft priviledge service, as disclosed to us.
I authorize only these checking account(s)
Only eligible accounts will receive Overdraft Priviledge Service.

* indicates a required field