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Register for Monthly E-Statements

 
Please complete the registration form below to elect to receive your monthly account statements via e-mail in the form of a PDF attachment.
 
Yes, I elect to receive E-Statements. Send to:
E-mail Address:
 
The e-mail address you provide here will only be used to opt-in for E-Statements. You will not receive promotional e-mails at this address, unless it is already registered with us for this purpose. If you would like to subscribe to our eNews & Events e-mail list, click here.
 
For verification purposes, please enter your First and Last Name, Account Number and Phone Number below.
   
First, Last Name:
Account Number:
Phone Number:
 
By completing this form and clicking Submit, you are authorizing Glidewell Laboratories to discontinue the delivery of paper statements and are electing to receive your account statements electronically via e-mail. This change will occur within two statement cycles.
 
*I agree that I have read and understand the above terms.
 
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After registering for this free service, you will receive your monthly account statements via e-mail in the form of a PDF attachment. Switching to paperless account statements is our way of offering our customers a convenient service, while doing our part to protect the planet.
 
Glidewell eStatements
 
   
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