Change Of Address Form - Members Choice Wv Fcu

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Change of Address Form
This request is to update the address(es) associated with your account. If your mailing
address is a Post Office box number, we also require a physical address for your account
information. Complete all fields, sign and return to the credit union. You may mail this
completed form to PO Box 20040 Charleston, WV 25362 but may also be required to come
to the credit union if further verification is needed.
Member Name (must include any suffixes): __________________________________________
Member Number: _____________________ Other Account Numbers: ___________________
Home Phone: ________________________ Mobile Phone: ____________________________
Work Phone: ________________________ E-mail Address: ___________________________
Old Address:
NEW MAILING ADDRESS:
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
Physical Address (if different than new
Please circle if you have:
Mailing Address; cannot be PO Box):
YES
NO
VISA Debit Card
________________________________
YES
NO
VISA Credit Card
________________________________
________________________________
YES
NO
IRA/Share Certificate
Should the same address be updated for all joint members listed on the account? If yes, a
separate Change of Address Form must be completed:
YES
NO
N/A
Do you need to update a child’s account with the same address?
YES
NO
N/A
If yes, provide name(s) and member number(s): _______________________________________
Credit Union Use Only:
____________________________
Teller ID:
Signature
____________________________
Date Received:
Date
Date Completed:
Members Choice WV Federal Credit Union, Member NCUA

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