Address Change Form
[pic] ADDRESS CHANGE
Your membership is important to Freedom Federal Credit Union. We have been informed that we do not have your correct mailing address. So that we may better serve you, please provide us with your current address and contact information.
Please note: If your account is less than 6 months old we will need additional documentation. Please provide one of the following along with the completed form: Current lease, current utility bill, an updated driver’s license, MVA change of address card, or a current paystub less than 30 days old displaying your current address. Each member must sign for their own account record to be updated.
An address change may be completed through Freedom’s Home Banking located at , or by
completing and signing the address change form. The form may be returned by scanned email (memberservice@)
or FAX (410-676-6381). If you have any questions, please contact us at 410-676-5700 or 1-800-440-4120.
Primary Member Name: ________________________________________
Member Number (s): ______________________________________
Joint or Custodial Member(s) Name: __________________________________________
Please select “phone password(s)” to be used for phone verification. Phone passwords are required.
Primary Member: __________________ Joint Member: ___________________
New Physical Address
Street: _______________________________________________________________________________________
City & State: ___________________________________________________ Zip: __________________________
E-Mail Address____________________________________ Home Phone: ________________________________
Cell Phone: _______________________________________ Work Phone: ________________________________
Mailing Address (if different than Primary’s Physical Address)
Street: _______________________________________________________________________________________
City & State: __________________________________________________ Zip: ___________________________
Effective date: _______________________ Expiration date (if applicable):________________
Signature: _____________________________________________________ Date: ___________________________
Joint Owner Signature: __________________________________________ Date: ___________________________
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Back Office use only:
Completed in Symitar: Initials __________ Date __________ (warnings removed, mail codes, 360)
Completed in PSCU (credit card): Initials __________ Date __________
Completed in Acensus ( IRA): Initials __________ Date __________
Completed Mortgage/Home Equity Initials ___________ Date __________
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