Deluxe Provent® ID Protection Services Application

Please complete the following application and click "submit" when finished. Should you have questions, please call a Member Service Representative at (843) 448-2133, ext. 3 or use our secure message board within online banking.

Subscriber Information

First name*

Middle (Name/Initial)

Last name*

Street address*

City*

State/Region*

Zip Code*

Preferred Daytime Phone Number*

Please confirm the last 4 digits of your account number:*

Is this a:*

Work Number

Mobile Number

Home Number

Email*

Please Note: Federal Regulation D requires Savings account withdrawals to be limited to 6 during a calendar month by the following means: online or phone transfer, ACH, ATM PIN transaction at the merchant, or automated account transfer. Drafting this service fee from your savings account would count as one of your six allowed monthly withdrawals.

Service Requested

Please select the services:*

ID Protect: Individual ID Theft Restoration, EZ Shield Wallet and Internet monitoring with alerts ($4.49 monthly)

ID Protect Plus: Individual ID Theft Restoration, EZ Shield Wallet, Internet monitoring with alerts and 1-bureau credit monitoring with alerts ($5.99 monthly)

ID Protect Plus for 2: Family ID Theft Restoration,* EZ Shield Wallet, Internet monitoring with alerts for 2 and 1-bureau credit monitoring for 2 with alerts ($8.49 monthly)

ID Protect Platinum: Family ID Theft Restoration,* EZ Shield Wallet, 1-bureau quarterly credit score, and internet monitoring, 1-bureau credit monitoring, public records monitoring and name and address monitoring - all with alerts ($9.99 monthly)

How did you hear about this product?*

Agreement and Authorization

By checking this box, I acknowledge that I have read and understand the disclosures below:*

I agree to purchase this service from Carolina Trust Federal Credit Union, a third-party provider of Deluxe Provent services. I understand that upon enrollment, I will receive emails with activation instructions from Deluxe Provent. I further understand that I must activate my Deluxe Provent monitoring service online or my service may be suspended in part or whole. I authorize a Carolina Trust representative to enroll me for the above selected service. I also authorize the specified monthly fee to be automatically deducted from the above indicated Carolina Trust account. I recognize Carolina Trust is a distributor of Deluxe Provent services, and specific service questions or concerns should be directed to a Deluxe Provent representative. I also understand I can choose to cancel or expand my Deluxe Provent service at any time by contacting a Carolina Trust representative by the methods listed above.