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Reform of Deposit Insurance

FDIC ROUNDTABLE ON DEPOSIT INSURANCE REFORM VIDEOTAPE ORDER FORM To order a copy of a FDIC Roundtable on Deposit Insurance Reform videotape, please provide the following information. Institution Name:____________________________ Contact Person:_____________________________ Street Address:______________________________ City, State, Zip Code:_________________________ Daytime Telephone:___________________________  Description: FDIC Roundtable on Deposit Insurance Reform On April 25th, the FDIC hosted a roundtable discussion with banking and financial industry trade groups, consumer groups and interested individuals who explored how to price deposit insurance, how to maintain the insurance funds, and how to provide the right level of coverage.   Quantity Ordered: ___________ (at $20 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. 20073-0670 For credit card orders, please fax form to FDIC Public Information Center at: (202) 416-2076. Visa: ____ M/C: ____ Card No: ___________________________ Expiration Date: _____________________ Name on Card: ______________________ Signature: __________________________ If you have any questions, please call FDIC Public Information Center at: (800) 276-6003.