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Benefits Plus®
Account Enrollment Application & Disclosure

I accept the 60-Day Benefits Plus® Free Trial Offer. I understand I can activate my complementary Identity Theft Protection and that I will have access to all of the membership benefits included with the program. After the 60-Day Free Trial I understand my savings account will be debited on the last day of each month in the amount of $4.99. I also understand that I can opt out of the Program and membership fee at any time by notifying the credit union. (Initial)

I decline the 60-Day Benefits Plus® Free Trial Offer. I understand that I will not be covered with Identity Theft Protection or have access to any of the membership benefits included with this program. (Initial)

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).

I agree to the monthly payment

I do not agree to the monthly payment


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