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   Agreement To Receive Electronic Statements

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Agreement to Receive Electronic Statements

_____________________________ (hereafter "Company") and ________________________ (hereafter "Customer") hereby agree to the following:

The Customer is the sole holder of the account ending in {number}.

The Customer agrees to receive electronic statements. "Statements" in this context may refer, but are not limited to, {monthly statements, bills, disclosures, warnings, policies, policy changes, updates, etc.}.

The Customer understands that by agreeing to receive electronic statements, he/she is declining to receive paper statements. Paper statements will no longer be mailed to {address}.

By agreeing to receive electronic statements, the Customer will now receive all statements through {Customer email address/Company website account}. The Customer's computer and email account must meet the following technical requirements: {requirements}.

Should the email address provided by the Customer return as invalid, the Company will terminate this contract and resume with paper statements to the aforementioned address. It is therefore the Customer's responsibility to update his/her email address as necessary.

The Customer may cancel this agreement in writing to {contact information} at any time in order to resume paper statements.

The Company may cancel the electronic statement service at any time. In such an event, the Customer will be notified via {contact type} within {amount of time} before the cancellation goes into effect.

In witness to their agreement to the terms of this contract, the parties affix their signatures below:

____________________________________
Party 1, signature & date

____________________________________
Party 2, signature & date

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