| Request Form for Second-Billing Address |
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If you need a copy of your statement or need it sent to a second party please fill out and fax or e-mail form (from a Manhattaville e-mail address) to 914-323-5384 or This e-mail address is being protected from spambots. You need JavaScript enabled to view it , emailed forms must be sent from a Manhattanville e-mail address. Statement Request FormName of Student_____________________________________ Student ID Number___________________________________ Name of Person statement is to be sent to if different from the student: ___________________________________________________ Address_____________________________________________ ___________________________________________________ ______1. Pick up – Manhattanville College Student Accounts office.
Student ID is required to pick statement up in person.
______2. U.S. Mail – Your duplicate(s) statement will be mailed to the address you provided above. ______3. PDF via Email – Your duplicate(s) statement will be emailed to the address you provide.
Email address:____________________________________________
Student Signature__________________________Date___________ JGRev711 |













