LEXINGTON POSTAL CREDIT UNION MEMBER ADDRESS CHANGE FORM

Date: ___________________

Please change my address on the following accounts and services

                    Circle all that apply

Share Account (savings)                         Share Draft Account (checking)       

Debit Card             Visa Card                 IRA Account

Please Include all applicable Member Numbers, including family members.

Member Name: ________________________________________________

Member Number(s): _____________________________________________

Email: _______________________________________________

New Address: 

Street ________________________________________ Apt. # _______________

City _________________________________  State ________ Zip _____________

Work Phone: _______________________ Home Phone: _______________________ Cell Phone: _______________________

 Signature: ___________________________________________________________