Your Personal Branch Authorization Request Form Printer Friendly Version S.P.O.T. Authorization Request Form To sign up for Schools Plus Online Teller Services, "S.P.O.T.", please complete, print and sign this form. However before proceeding further please read the account information disclosure which more fully explains the use, capabilities and liabilities of the system. See our account information disclosure for questions regarding the security and privacy of our site. Important-Please Note You must be a member of Schools Plus Community Credit Union before applying for access to "S.P.O.T.". All requests must be made in writing using this form. You may mail or deliver the original to our office @ 705 SW Emigrant, Pendleton, OR 97801. FAXES and E-MAIL are NOT accepted. Your account will be activated within the 24-hour period following the business day we receive your request. Your ACCOUNT NUMBER is the one to six digit member numbers on your statement. Access to your "S.P.O.T. account will be controlled by means of a password/PIN. This password may be any combination of numeric characters that you wish, after your initial login. To get an initial password for S.P.O.T., visit the credit union office or call us at (541) 276-4876. Please change this password to one of your choosing as soon as possible. Member Acct# ________________ Other Member Account Number's I may wish to transfer money to. By signing up for the account transfer feature you are only able to authorize transfers from your member number to other existing member numbers at Schools Plus Community Credit Union. The name you choose to call the account will be what will appear on your statement. (Example: Mike's Checking or Mike's Line of Credit)   Member # _________________     Account # _________________    Account Name _________________________  Member # _________________     Account # _________________      Account Name _________________________  Member #  _________________    Account # _________________    Account Name _________________________

I have read the Account Disclosure and I hereby authorize Schools Plus Community Credit Union to make my account information accessible by the Internet/World Wide Web of computers. I have read the account information disclosure and accept the applicable terms. Primary Mem. Signed Name: ________________ Joint Mem. Signed Name: ______________________ Printed Name: ____________________________ Printed Name: _______________________________ E-Mail Address: ___________________________ E-Mail Address: ______________________________ Social Security Number: ____________________ Social Security Number: ________________________ Date____/____/______