I/We the undersigned, authorize Belgrade State Bank to e-mail information regarding the above listed account(s) to me/us upon my/our request. I/We understand that information will only be e-mailed to the address(es) below, and that I/we will inform the bank should these addresses change by completing a “Change-of-Address” form and re- authenticating each address given. I/We understand that it is my/our responsibility to keep any passwords and/or account information private and not store or send the information where it can be accessed by others. I/Weunderstand that I/we may use up to three (3) e-mail addresses. *Please be aware that this is case sensitive.*
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