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Routing Number 272078297

Benefits Plus®
Account Enrollment Application & Disclosure

I (We) hereby accept this credit union offer to participate in the benefits program offered by Generations Gold Inc., and to receive specified discounts on various services. I (We) agree to pay the monthly fee of $4.99. I (We) understand that this credit union makes no representation, expressed or implied, regarding the quality of service and products provided by the participants and shall have no liability in connection therewith. All liabilities, claims, damages and demands are the sole and direct responsibility of Generations Gold and its independent benefits providers. I (We) hereby authorize this credit union to release any information deemed necessary for participation in the Benefits Plus® program. I (We) understand that the benefits and services are provided by Generations Gold Inc. a fully independent benefits provider.

I (We) understand the Restoration Rescue® must be activated for the Identity Theft Protection coverage to be in force.

I (We) understand that I (we) must register debit/credit cards to receive the Cash Back benefits.

This Program is not insured by the National Credit Union Administration (NCUA) or any other federal government agency of the United States, the credit union or any affiliate of the credit union.

Oral disclosure was given to the consumer(s) (not required for transactions conducted electronically or by mail).

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