E-Statement Opt-In Consent Form

Thank you for your interest in paperless statements. As a The Commercial Bank customer, you have the right to have the statements for the accounts you own at The Commercial Bank provided or made available to you through one of the following methods free of charge: paper via postal delivery or electronically through online banking. Maintaining both your paper delivery and electronic delivery of statements will result in a charge of $2.00 per statement delivered by mail per cycle. At any time you may withdraw this request to have your statements made available online (in lieu of mailed paper statements) by giving us five working days advanced notice in writing. This notice may be sent by first-class mail to us at P.O. Box 306, Crawford, GA 30630 or by contacting us through your online banking Secure Messaging portal. The recommended method of contacting us is through our online banking Secure Messaging center by selecting Messages.

Online Banking, Bill Payment and Electronic Statement Disclosure

* By checking this box, I acknowledge that I have read, understand, and agree to The Commercial Bank's Online Banking, Bill Payment and Electronic Statement Disclosure found in the above link. I hereby request that you make my account statements available for all the accounts I own at the Commercial Bank via online banking rather than postal mail each time such document would be sent to me via postal mail. Please continue to do so until I withdraw this request as described above.

Customer Name

or Business Name

Authorized Signer Name

Email*

Address*

Phone*

I understand that the software I must have to view this document via online banking is Adobe Acrobat. You will need Adobe Acrobat Reader to view the document. If you do not have Adobe you can click here to download a free copy of it. I hereby represent to you that I have the required hardware and software and am able to access the bank's website. The Commercial Bank may change the hardware and software required at any time on 45 days' advance notice. If I choose not to obtain the new hardware or software, I may withdraw my request for e-statements without any fee or charge by you for such withdrawal.

Once you have elected to receive account statements via online banking, you will still be able to obtain individual paper statements if needed at the cost of $2.00 per statement. Either branch of The Commercial Bank can accommodate this request.

By submitting this form I agree to all of the statements outlined above.

Thank you for your submission!

We will be in touch with you soon.

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