| CHANGE OF ADDRESS FORM |
| EFFECTIVE DATE_________________________________ |
| MEMBER NUMBER_________________________________________________________ |
| NAME (Print)______________________________________________________________ |
| OLD ADDRESS____________________________________________________________ |
| CITY_________________________________ STATE_________ ZIP_________ |
| NEW ADDRESS___________________________________________________________ |
| CITY_________________________________ STATE_________ ZIP_________ |
| CURRENT HOME PHONE_______________________________ |
| CELL PHONE NUMBER_________________________________ |
| EMAIL ADDRESS_____________________________________ |
| CURRENT EMPLOYEE NAME_____________________________________________________________ |
| CURRENT EMPLOYEE ADDRESS__________________________________________________________ |
| CITY_________________________________ STATE_________ ZIP_________ |
| CURRENT EMPLOYEE PHONE_______________________________ |
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|
| SUBSCRIBED AND SWORN TO BEFORE ME THIS____________________DAY OF____________________20______ |
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SIGNATURE |
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DATE |
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_______________________________
NOTARY'S SIGNATURE |
(SEAL) |
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| NOTARY PUBLIC IN AND FOR THE COUNTY OF:________________________________ |
AND THE STATE OF:_______________________________
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You Must Print, Sign, and Return to Credit Union
Savannah Postal Credit Union
22 Oglethorpe Professional Boulevard
P.O. Box 13807
Savannah, GA 31416-0807
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