Overdraft Protection Opt-In / Opt-Out Consent Form

Please read the Electronic Disclosure Online Consent Form and the What You Need To Know About Overdrafts And Overdraft Fees before making your opt-in / opt-out selection for ATM and one-time debit card overdrafts.

Opt In or Out of Overdrafts on ATM and Everyday Debit Card Transactions
- I want Bankers Trust to authorize and pay overdrafts on my ATM and everyday debit card transactions.
- I do not want Bankers Trust to authorize and pay overdrafts on my ATM and everyday debit card transactions.
Name
First Last
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MM slash DD slash YYYY
Account number
Name
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