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CHANGE OF ADDRESS FORM

Bayer Heritage Federal Credit Union
R.R. 1 Box 12
Proctor, WV 26055
(304) 455-4029 Fax (304) 455-6618

The Credit Union is required to have an authorized signature on file before making any changes to a member's address. Please print and complete this form. Return it to the office via mail or fax. Once we have received this signed form, account information will be promptly updated. Thank you for your cooperation.

ACCOUNT NUMBERS AFFECTED:  
ACCOUNT OWNERS:  
NEW ADDRESS:  
NEW PHONE:  
WORK PHONE:  
E-MAIL ADDRESS:  
EFFECTIVE DATE:  
SIGNATURE/DATE:  



Please mail completed form to:
Bayer Heritage FCU Member Services
R.R. 1 Box 12
Proctor, WV 26055
Or FAX to: (304) 455-6618

 

Bayer Heritage FCU Home Page | Bayer Heritage FCU Applications Page