FirstLight Federal Credit Union

Overdraft Privilege

Please complete the form below:

*Date
*Last Name (required) Please enter your last name as it appears on your account: Last Name
*First Name (required) Please enter your first name as it appears on your account
*Account Number (required)
*Last 4 Digits of SSN (required)
*Mother's Maiden Name or Account Code (required)
*Date of Birth (Primary Account Holder) (required)
*Address on File (required)
*Date and amount of last deposit (required)
*E-Mail Address (required)
*Phone Number (required)
>Opt In Election: Yes
I understand that by clicking on "yes" I am choosing to Opt In to the Courtesy Pay program as covered by Regulation E for Everyday Debit Card purchases not covered by the credit union's other overdraft services.
Opt In No No
I understand that by clicking on "no" I am choosing to Opt Out of the Optional Overdraft Privilege program as covered by Regulation E and that my one-time ATM and Debit Card purchases will not be paid.
: action time submit