CLARA BARTON FEDERAL CREDIT UNION

Existing Account Changes

 

Member Name: __________________________________ Account #: _____________

(please print) ___ Sr. ___ Jr.

ONLY Complete Areas that are Changing
 

ADDRESS CHANGE:

Residential Address:_________________________ Phone #( )____________

(No P. O. Box) __________________________________________________

Mailing Address: ________________________________________________

(P. O. Box ok) _________________________ Effective Date:__________
NAME CHANGE: (please provide photo ID in new name)

First ______________________ Middle _____________ Last _________________
 

CLOSE ACCOUNT: __ Checking Only __ Savings & Checking

Mail Check to: _______________________________________________________

Reason for closing:___________________________________________________

___________________________________________________________________

___________________________________________________________________

 

Signature:________________________________________________________

Please print this form, fill out all necessary information and mail it to us at 2025 E St. NW, LL1, Washington, DC, 20006 or fax it to us at 202-303-0136.

Revised 12/29/98