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By submitting this form, I am providing J.G. Wentworth with express written consent to contact me regarding product offerings by SMS/text messages or by using an auto dialer (or automated means) at the phone number(s) provided and such consent is not a condition of a purchase. I also consent and agree to J.G. Wentworth’s Privacy Policy and Terms of Use.

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CONSENT FOR THE ELECTRONIC DISCLOSURE OF INFORMATION

Please read this Consent for the Electronic Disclosure of Information carefully and keep a copy for your records. You should not open a card account from a public computer.

The following disclosures are required by the federal Electronic Signatures in Global and National Commerce Act (“E-SIGN”). In order to open a J.G. Wentworth Cash Now™ Visa® Prepaid Card electronically, you must acknowledge receipt of these disclosures, agree that you have read the disclosures and consent for the electronic delivery of all statements, disclosures and notices. We may amend or change the terms and conditions of this Consent for the Electronic Disclosure of Information at any time. For the latest version, please review online at http://jgwentworth.com/prepaid-cards/get-a-prepaid-card

Consent for the Electronic Disclosure of Information

By clicking the box corresponding to the Consent for Electronic Disclosure of Information on the application submission page, you acknowledge receipt of the E-Sign Disclosure and Consent, that you have read the Consent for Electronic Disclosure of Information and you affirmatively consent to the electronic receipt of any and all statements, disclosures, notices, terms and conditions, and other documents, and all subsequent changes thereto, related to the Card Account (collectively, “Statements”). Please be sure your email address and other contract information is correct by visiting our website at www.CashNowCard.com or calling us at 1-844-834-4918.

After you consent to the electronic receipt of statements and activate your J.G. Wentworth Cash Now™ Prepaid Card, statements and your available card balance are available at no additional cost online at www.CashNowCard.com or by calling 1-844-834-4918. You agree that we do not need to provide you with a written (non-electronic) copy of any Statement, unless you specifically request us to send you a copy. There is a fee of $1.00 dollar to receive a paper statement in the mail.

Paper Delivery of Disclosures and Notices

You may choose to have a paper copy of any particular Statement mailed to you by contacting us by phone at 1-844-834-4918, or you may write to the Program Provider via mail at : JG Wentworth Prepaid Division, 201 King of Prussia Road, Suite 350, Radnor, PA 19807.

Be sure to state that you are requesting a paper copy of a particular Statement. There is a $1.00 Paper Statement Fee for this service assessed each time a paper copy of any Statement is mailed to you.

System Requirements to Access Information

In order to access, receive and retain Statements electronically, you must provide at your own expense an Internet connected device that is compatible at the time of such access with the minimum requirements outlined below.

To receive Statements electronically, you must have the following equipment and software: A personal computer or other device which is capable of accessing the Internet. Your access to this page verifies that your system/device meets the requirements.

An Internet web browser capable of supporting 128-bit SSL encrypted communications, which requires a minimum web browser version of either Microsoft® Internet Explorer version 6.0 (available for downloading at Microsoft) and your system or device must have 128-bit SSL encryption software. Your access to this page verifies that your browser and encryption software/device meet the requirements.

You must have software which permits you to receive and access Portable Document Format or “PDF” files, such as Adobe Acrobat Reader® version 8.0 and above (available for downloading at Adobe). Your access to this page verifies that your system/device has the necessary software to permit you to receive and access PDF files.

System Requirements to Retain Information

To retain a copy of a Statement, your device must have the ability to download and store PDF files.

Statements in Writing

All Statements in either electronic or paper format are in writing. Please print or download for your records a copy of this disclosure and other Statements.

Federal Law

You acknowledge and agree that your consent for the electronic disclosure of Statements is provided in connection with a transaction in or affecting interstate commerce that is subject to and governed by the federal Electronic Signatures in Global and National Commerce Act.

Withdrawal of Consent for Electronic Delivery of Information

You may withdraw your consent to receive any future Statement electronically by contacting us by phone at 1-844-834-4918, by withdrawing your consent online via the cardholder website, or you may write to the Program at: JG Wentworth Prepaid Division, 201 King of Prussia Road, Suite 350, Radnor, PA 19807.

If you do withdraw your consent we reserve the right, in our sole discretion, to terminate your account. A check of the remaining balance will be provided. We will not impose any fee to process the withdrawal of your consent to receive electronic Communications. Any withdraw of your consent to receive electronic Communications will be effective only after we have a reasonable period of time to process your withdrawal. In the meantime, you will continue to receive Communications in electronic form. If you withdraw your consent, the legal validity and enforceability of prior Communications delivered in electronic form will not be affected.

If you have withdrawn your consent and you desire to give consent, you may contact us by any of the means noted above to consent for electronic delivery of information.