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Inactive Financial Institution Letters 


ORDER FORM

To order a copy of the FDICís Trust Examination Manual (CD-ROM), please print or type the following information. For further information on ordering procedures, call 800-276-6003 or (703) 562-2200.

Institution Name: _________________________________
Contact Person: _________________________________
Street Address: _________________________________
City, State, Zip Code: _________________________________
Daytime Telephone: _________________________________
Additional Quantity Ordered: ___________ (at $100 each)
Total Amount Enclosed: ____________
PLEASE MAIL THIS ORDER FORM
AND CHECK OR MONEY ORDER TO:
Federal Deposit Insurance Corporation
Department Number 0670
Washington, D.C. 20073
FOR CREDIT CARD ORDERS, PLEASE FAX FORM TO (703) 562-2296.
Visa: ____ M/C: ____
Card No: ___________________________
Expiration Date: _____________________
Name on Card: ______________________
Signature: __________________________
HB31-001-9999-343104 PC 7062
Last Updated 07/16/1999 communications@fdic.gov