This enrollment form asks for your consent so that we can provide monthly account statements to you in an electronic format rather than a paper format. Before accepting below, please read the following disclosures and requirements for accessing electronic disclosures. Internet statements provide all information available on paper statements. An e-mail message will inform you each month when your statement goes online. Images of checks for the month can be easily accessed. Statements and check images will remain online on a secure First National Bank site and may be downloaded or printed for permanent retention. PLEASE NOTE: To access monthly account statements and disclosures electronically, you must have:

• A First National Bank checking or savings accounts
• An Internet connection
• A 128-bit encrypted Web browser
• Access to a printer or storage medium such as a hard drive so that you download and/ or print disclosures and/or statements for your records
• You must be able to open PDF files to enroll in this product. You will need Adobe Acrobat Reader or another product for this purpose

If you're lacking any of these requirements and want to receive Internet Statements, please contact us and we'll help get you set up.

• Send us an email at IBinfo@fnblasanimas.com
• Call us at 1-888-803-2672; or
• Write to us at PO Box 270, Las Animas, CO 81054

If you change your mind about electronic disclosures and statements in the future: You can always request paper copies. If a special need arises, we can prepare a paper-based version of any of the electronic records you receive for up to five years after the date it was created. You can change back to all paper based disclosures and statements. In order to change your disclosure format from electronic to paper just contact us via any of the options shown above. To update your electronic address or to change the method you have chosen to receive information, electronically or on paper, or if you have any questions, e-mail us at IBinfo@fnblasanimas.com or call us at 1-888-803-2672. You can also change your email address through the Other Services Menu in our Internet Banking service. By accepting below I certify that I have read the above disclosures and want electronic monthly account statements. I have access to a computer that meets the technical requirements set forth above, and I have access to a printer, or the ability to download information in order to keep copies for my records. I will notify you of any changes in my electronic address, or if I no longer want to receive disclosures electronically.