Employees Federal Credit Union

ADDRESS CHANGE REQUEST FORM

If you have had a change in address, phone number or e-mail address please fill out and sign this form.

Please bring this to one of our locations so we may update your information.
You may also mail to 1120 W 17th Street, Tulsa OK 74107 or fax 918-582-7588



Member Name

Member#

 

 

 



Physical Address

Mailing Address (if differs from physical)

 

Street:

Street:

 

 

City, State & Zip:

City, State & Zip:

 

 

Contact Information::

Home:

Cell:

 

 

Work:

Alt:

 

 

Email:

 

 

List of Joint Owner’s that changes may apply:

Name:

Phone:

 

 

Name:

Phone:

 

 

Name:

Phone:

 

 

Name:

Phone:

 

 

______Please check if you have an active ATM or Debit card.

___________________________________________________

__________________________

Signature

 

Date

 

 

 

OFFICE USE:

 

 

___updated TransFund if ATM/Debit card

 

 

___updated joint owners w/ corrected information

 

___check for returned mail

 

 

_________________________________

__________

___________________

Service Rep

Date changed

Branch

EFT DATE 3/28/16

PDF: Address Change Form