eStatement Request Form


I hereby authorize MED5 Federal Credit Union to deliver all monthly or quarterly account statements to me via electronic means. I understand that MED5 FCU will notify me by email when statements are available for viewing. I also understand that I will no longer receive paper statements via postal delivery unless I request, in writing, to discontinue electronic statements.

Name *
Name
Address *
Address
I agree to receive account notification changes and policy changes via electronic newsletters associated with e*statements. I understand that I am responsible to alert the Credit Union of any changes of my email address.