Sarasota Coastal Credit Union E-Statement Application

Note: You must have a Credit Union Account to apply. No SCCU account?
No Problem! If you are not yet a member, click here for more information on
how to join.

PLEASE NOTE THAT WEB TV USERS CANNOT RECEIVE
E-STATEMENTS AT THIS TIME. YOU MUST DOWNLOAD ADOBE ACROBAT TO OPEN YOUR E-STATEMENT.

YES! I want SCCU E-Statements! Click here for Electronic Records Consent Form Agreement
CURRENT ACCOUNT #
FIRST NAME MI LAST NAME
E-MAIL ADDRESS
FOUR DIGIT PASSWORD
SSN
HOME PHONE
WORK PHONE


AUTHORIZATION/SIGNATURES

By signing this form, I authorize Sarasota Coastal Credit Union to discontinue sending me statements via postal mail service, and begin sending my statement information via e-mail. I understand that the statement information will be compressed, encrypted, and password protected for my security. I also understand that I may receive additional messages from the credit union. I understand that I am responsible to alert the credit union of any changes in my e-mail address.

Please print, sign and return this form by fax at (941) 907-4800, by mail to:
SCCU, PO Box 15407
Sarasota, FL 34277-1407
or stop by any of our five branch offices.


____________________________/___/__
MEMBER'S (OWNER'S) SIGNATURE DATE
____________________________/___/__
JOINT OWNER'S SIGNATURE DATE