Effective August 15, 2010

 

I want Community National Bank to authorize and pay overdrafts on my ATM and everyday debit card transactions.

 

Name:_______________________ Date:___________ Account Number:_____________

 

Should you change your mind and decide you no longer want us to continue to authorize and pay overdrafts on your ATM and everyday debit card transactions ( after August 15, 2010), you may revoke your authorization any time by contacting us either in person, by mail or by phone.