eStatement Enrollment

Section A: eSign Disclosure
As part of your relationship with First United Bank, we want to ensure you have all of the information you need to effectively manage your accounts. Our goal is to provide you with as many options as possible for receiving your account documents. We are required by law to provide you with certain information “in writing” – which means you are entitled to receive it on paper. We may provide this information to you electronically, instead, with your prior consent. We also need your general consent to use electronic records and signatures in our relationship with you. The following disclosure is required by the federal Electronic Signatures in Global and National Commerce Act (eSign Act). Please read this eSign Disclosure carefully and keep a copy for your records. Also note the instructions located in the Consent section below. Electronic Delivery of Disclosures, Notices, Agreements, Fee Schedule, Statements, and other information we might provide to you in the normal course of business. By following the “Consent” instructions below, you are consenting to receive disclosures, notices, agreements, fee schedule, statements and other related documents that may relate to any of your current or future First United Bank accounts, loan transactions or products electronically. If you do not consent; we will mail these documents to you. By consenting to electronic documents, you agree to provide us with your current eMail address and update First United Bank if your information changes by contacting our Electronic Services department at the number or eMail address listed under Contact Information.

Requesting Paper Copies
Even after consent, you have the right to receive a paper copy of all documents related to your account. If you would like to receive a paper copy, please contact us at the number or eMail address listed under Contact Information. A fee may be assessed for a paper copy unless charging a fee is prohibited by applicable law. Please include your name and mailing address and be sure to state that you are requesting a paper copy of the documents related your current transaction.

Withdrawal of Consent
If after consenting, you wish to withdraw your consent, you can do so by contacting us at the number or eMail address listed under Contact Information. Your withdrawal of consent will become effective after we have had reasonable opportunity to act upon it.

Termination/Changes
We reserve the right, in our sole discretion, to discontinue the provision of your account information electronically, or to terminate or change the terms and conditions on which we provide account information electronically. We will provide you with notice of any such termination or change as required by law.
Section B: Hardware and Software Requirements
In order to access, view, and retain your account information electronically, you must have:
- A personal computer or other device which is capable of accessing the Internet
- An Internet web browser with capabilities to support a minimum 128-bit encryption
- Software which permits you to receive, access, print and save Portable Document Format or “PDF” files, such as Adobe Acrobat Reader® version 11.0 or above
- Adobe Acrobat Reader is available for download at www.adobe.com
- A working email account with 1MB of free space available and allows attachments up to 500KB
Section C: Customer Information
Hidden
Date*
MM slash DD slash YYYY
Type of Account*
First Name*
M.I.
Last Name*
Primary Address*
Street Address Address Line 2 City State ZIP Code
SSN/TIN (last four only)*
Phone*
Primary Contact for Accounts*
Section D: Account Information
List all accounts for which you are an owner and would like to receive electronic documents. To improve security, we recommend that you provide a password that you will use to view your documents. (The password should be at least six (6) characters long, alphanumeric, and contain at least one (1) special character.) You may request that we send the same account document or statement to three (3) different eMail addresses. If you have additional accounts that are not listed below, including loans, an additional submission of this form may be required.
- Enroll all Accounts

Accounts*

Account Number	Email	Password

Password must be atleast 6-18 characters long and include at least ONE of the following: lowercase letter, uppercase letter, numeric character, special characters: !@#$%^&*

Section E: Consent Instructions
You will NOT be eligible to receive electronic documents regarding your First United Bank account(s) or transactions without returning this information to our Electronic Services department. Please follow the instructions to submit your information:
1. Please click here and open the pdf to retrieve your code.
2. Please type the code in the box provided.
3. Complete the requested Customer Information and Account Information.
4. Complete Consent section and “Submit” request back to First United Bank.
Enter Code From PDF Here:*
Section F: Consent
By completing the information above and selecting “Yes” next to “I Consent to receive disclosures, notices, agreements, fee schedules, statements and other related documents electronically” you give consent to receive these documents electronically, and agree to the terms and conditions described above. You are ultimately responsible for the care and safekeeping of your account(s) and password(s). Allowing another, unauthorized person to access the information will allow them to view confidential information regarding your account(s). You also warrant that you are the owner of the accounts and elect to receive your account documentation electronically.*
- Yes. I Consent to receive disclosures, notices, agreements, fee schedules, statements, and other related documents electronically.
- No. I do not agree. I wish to receive paper copies of my account documents and understand that fees may apply unless prohibited by law.

Contact Information

If you wish to update your personal contact information, request a paper copy of your account documentation or withdraw your eSign consent , please contact us at (855) 382-7827 (FUB STAR); by eMail at estatements@firstunited.net, or by mail at:
First United Bank
ATTN: Electronic Services
PO BOX 16500
Lubbock, TX 79490-6500

Accounts

Lending

Banking Services

Accounts

Lending

Treasury Management

Banking Services

Section A: eSign Disclosure

Requesting Paper Copies

Withdrawal of Consent

Termination/Changes

Section B: Hardware and Software Requirements

Section C: Customer Information

Section D: Account Information

Section E: Consent Instructions

Section F: Consent

Contact Information