By signing this form I am stating that I realize that it is my responsibility to remember my password. If I should forget my password, I understand that the credit union does not have access to it and that I will have to visit a branch of the credit union and show proper identification to obtain a new one. I understand that I will not be able to obtain any password over the telephone. If I remember my old password and would just like to change it, I may do so on line at the sign in page.

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The "Perfect Teller" can be accessed via the web at: http://www.pt4web.com/41273. Follow the instructions for installing the Perfect Teller program on your PC. Once it is installed, you activate the program by clicking on the Start button, selecting Programs then selecting Perfect Teller. When you are using the program, make sure you have an active connection to the Internet. You may use the password that you assign. Simply designate any number or word or combination of both that you desire. Write in your "Perfect Teller" password below. You may use up to 32 characters digits. (Make your password something that will be easy for you to remember, but difficult for someone else to figure out.) Note: Passwords are case sensitive.

Password (you may change your password after setup is completed)