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	Statement Copy Request
	Use this screen to request a copy of a statement.
	* Required Field
	Services Options:
	Statement Information:
	Account:	Select An Account --------------------------------------------- My Checking - +++0001 College Savings - ++++0015 Joint Savings - ++++0002 *
	Statement Date:	*  MM/DD/YYYY
	Delivery Method:	Select ------------------------ Fax Standard Mail Express Mail *
	Fax Number:	###-###-####
	Additional Data:

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