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 with a copy of a photo ID. Once we have received this signed form, account information will be promptly updated. Thank you for your cooperation.
| ACCOUNT NUMBERS AFFECTED: |
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| ACCOUNT OWNERS: |
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| NEW ADDRESS: |
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| CITY, STATE, ZIP |
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| NEW PHONE: |
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| WORK PHONE: |
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| E-MAIL ADDRESS: |
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| EFFECTIVE DATE: |
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| SIGNATURE/DATE: |
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Please mail completed form to:
Florida State University Credit Union
P.O. Box 182499
Tallahassee, FL 32318-0022
850-224-4960 Fax 850-224-2754
Federally Insured by NCUA
