E-Statement Only Sign-up Form

 

 

_______I elect to opt out of receiving my monthly Bank of Lenox account statement by regular U. S. Mail.  Instead, I agree to receive my monthly account statement by E-Statement. 

 

I understand that by signing this form, I will no longer receive my monthly bank statement via U. S. Mail and that I will have 24/7 access to my statement through Internet Banking provided by Bank of Lenox.

 

 I also understand that if at anytime I wish to receive my monthly statement via U. S. Mail, I must notify Bank of Lenox in writing.

 

There is no fee for using Internet Banking to receive an E-Statement.  E-Statements can be printed from any computer by the account holder as often as desired

 

 

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Account #(s) to Opt-Out

 

 

 

 

Customer Signature                                                                                          Date

 

 

 

Bank Employee                                                                                                Date

 

 

  

Bank of Lenox does not require customers to sign up for E-Statements. 

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