Lafayette FCU - Account Activation and Contact Update Form

Account Activation and Contact Update Form

Thank you for helping us to keep your account(s) active. Once completed, bring this form to one of our branch locations, or send it to us via one of the convenient options below, and we will reactivate your account(s) by making a one cent deposit. It's that easy!

Mail

Attn: Member Service Lafayette Federal Credit Union

2701 Tower Oaks Boulevard Rockville, MD 20852

Email MEMBERSERVICE@

Fax (240) 747-3379

Name: Street Address: City: __________________________________________________State: ______________________ Zip: Applicable Account #(s): _______ E-mail Address:

Phone Numbers:

Home: ________________________________________________ Work: Cell: __________________________________________________

The information above is correct and I wish to reactivate my account(s).

Member Signature: ______________________________________________ Date:

2701 Tower Oaks Boulevard, Rockville, Maryland 20852 ? (301) 929-7990 ? (800) 888-6560 ?

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