NOTICE AND CONSENT

  • Scope of Consent. We are required to obtain your written authorization in connection with PREMIER Auto Pay and provide you with a copy of the authorization. By consenting, you agree to this electronic transaction, including receiving the Authorization Form electronically and records, disclosures, copies, and other notices related to this transaction electronically.
  • Paper Copies of the Authorization Form. If you consent to the electronic delivery of the Authorization Form, you may also receive a paper copy by writing us at First PREMIER Bank, P.O. BOX 5524, Sioux Falls, SD 57117 or by calling us at 1-800-987-5521. There is no fee for a paper copy. If, at any time prior to submitting your electronic signature, you decide not to consent to the electronic delivery of the Authorization Form, we will provide you with a paper Authorization Form at no cost; however, you will not be able to initiate the PREMIER Auto Pay service until your written consent is received.
  • Withdrawing Consent to Electronic Delivery. You may not withdraw your consent to the electronic delivery of the Authorization Form because we will provide the form to you as soon as we receive your consent. However, if after consenting to the electronic delivery of the Authorization Form and receiving such online, you decide you would also like a paper copy, you may request such copy as described above.
  • Hardware and Software Requirements. Before you consent to the electronic delivery of Disclosures, you should consider whether you have the required hardware and software capability to access and retain such information. To receive and retain the Notices and Disclosures electronically, you will need to use software equivalent to Microsoft Internet Explorer 8.0, Safari 5.1, Chrome 19 or above and hardware capable of running this software. You will also need a printer capable of printing text screens or a hard drive capable of storing data and access to a Web-based e-mail program.

CONSENT AND ACKNOWLEDGEMENT

By accepting below, you acknowledge and agree as follows:

  • You consent to receive the PREMIER Auto Pay Authorization Form and records, disclosures, copies, and other notices related to this transaction electronically and are providing your signature electronically to authorize PREMIER Auto Pay; AND
  • You have the hardware and software necessary to access and retain the Authorization Form, records, disclosures, copies, and other notices delivered electronically and you are able to download or print a copy; AND
  • You have received, read, and agree to the Notice and Consent regarding this electronic transaction and have either printed or saved a copy for your records.
Accept Decline

You must Accept Electronic Consent to complete enrollment in PREMIER Auto Pay.