Debit Card Round Up Enroll/Unenroll Request
Member Information
Member Number
*
check
warning
First Name
*
check
warning
Last Name
*
check
warning
Email
*
check
warning
Enter Phone
*
check
warning
Phone Type *
Home
Work
Mobile
arrow_drop_down
check
warning
Preferred Method of Contact *
Home Phone
Mobile Phone
Email
arrow_drop_down
check
warning
Round all of my debit card transactions up to the nearest $1.00 and transfer the money to the following account:
Account Number
*
check
warning
Please stop my round up transfers from happening.
Thank you. Your form has been submitted successfully.