ID TheftSmart Enrollment

*Indicates Required Field

First *
 Middle
Last *
Address *
City *
 State *
 Zip *
Email *
 Day Phone *
() - 		FTSB Checking Account # to Charge *
 
ID TheftSmart Service Option *
 
ID TheftSmart Service Options are described in table below:
Service Options: 1. ID Restoration 2. Credit Monitoring
Coverage ID Theft Counselling
ID Theft Restoration		 ID Theft Counselling
ID Theft Restoration
TransUnion Credit Bureau
Added Services None Notification of:
New Account Opened
Payment Delinquencies
Credit Inquiries
Public Record Changes
Change of Address
Cost $1.95 per month $4.95 per month
 
By clicking submit, I confirm that I have reviewed and agree to the ID TheftSmart Terms and Conditions and I am enrolling as an individual or household in the above selected ID TheftSmart option and authorize Farmers Trust & Savings Bank to debit my checking account for the monthly amount based on the option I choose.