Please fill out this form to update your member information. Note: All changes made over the phone or via the Internet will be verified before any change is made. If you need your address changed immediately stop into either credit union location to sign the change of address card.
* - required fields
First Name: *
Last Name: *
Affinity Membership Number: *
Social Security Number: *
Street Address: *
City: *
State: *
Zip: *
Phone Number(s): *
Home:
Work:
Mobile:
E-Mail Address:
Check here if you have an IRA
Check here if you have a MasterCard®
Check here if you have a Visa® Check Card
Date changes take effect :
You are about to send information over the Internet.
