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Change Order Request Form

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Please select The Farmers Bank pick up location from the drop down menu below.

Complete the Online Change Order Form and click submit.
All fields must contain data. If a denomination is not needed, please enter 0.
Rolled coin charge $.05 per roll  •  Strap charge $.10 per strap

Online Change Order Forms must be submitted at least 30 minutes prior to requested pick up date and time to allow time for processing.

Change orders submitted within 30 minutes of closing time will be available for pick up the following business day.

If you have questions regarding the Online Change Order Form, please contact your local Farmers Bank location or call 765-654-8731 during normal business hours.