Name(Required) First Last Account Number(Required)Program Details Each debit card purchase is rounded up to the nearest whole dollar. The difference (“spare change”) will be automatically transferred into the account you choose below. Example: A $7.25 purchase rounds up to $8.00. The $0.75 difference is transferred to your selected account. Transactions that are whole dollar ($5.00) will receive a $1 round up. Round-Up transfers can only be deposited into the account associated with the enrolled debit card. Each debit card purchase will appear as two transactions: one for the original purchase amount and one labeled "Round-Up Transfer." Omaha Federal Credit Union reserves the right to suspend or cancel the program at any time. Enrollment SelectionEnrollment Selection(Required) Yes, I would like to enroll in Debit Card Round-Up Savings Program. Account TypeSavingsSavings Suffix _______SuffixSuffixWould you like the Joint Owner's card added as well? Yes No N/A Electronic Statement RequirementElectronic Statement Requirement(Required) I acknowledge that participation in the Debit Card Round-Up Savings Program requires that I am currently enrolled in electronic statements (eStatements), and that I must remain enrolled in eStatements for the duration of my participation. AuthorizationBy signing below, I authorize Omaha Federal Credit Union to round up my Debit Card purchases and transfer the difference into the account selected above. Participation is voluntary and may be canceled at any time. Signature(Required)