PHONE NUMBER & ADDRESS CHANGE REQUEST

Please update my account and my debit card record with the

following information:

 

 Home Phone: ___________________      Work Phone: ___________________

 

 Cell Phone: _____________________     Other Phone: ___________________

 

 

Address: ____________________________________

 

               ____________________________________

 

IDENTIY VERIFICATION FOR ENFACT:

 

Mother’s Maiden Name: ____________________

 

Driver’s License Number: ___________________

 

 

Signature: _________________________________________

 

Print Name: ________________________________________

 

Card Number    * * * * - * * * * - * * * * - _________

 

 

 

Please Mail or Fax to the following:

 

Tyler City Employees Credit Union

819 N. Spring St.

Tyler, TX  75702

 

Fax  (903) 593-8781