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Office Use Only

Date: ___________________
Symitar #______________
Initials: __________________
Send completed form to
Member Services Support

EZ Call / Telephone PIN Setup / Change

Account Number Members Name (print)

Street Address City State Zip

Home Phone Work Phone

Mobile Phone Email Address

I hereby agree to the Members 1st EZ Call terms and conditions (included in the Membership

Member’s Signature Date

The Telephone Personal Identification Number (PIN) is for EZ Call and Telephone Use Only
This PIN is unrelated to an ATM/Debit Card PIN.
You may change your PIN using EZ Call or through Online Banking after an initial PIN is established.

Choose a four-digit Telephone Personal Identification Number (PIN) and write it below.
* The PIN must be between 0010 and 9999. For your protection, keep this number confidential.

Members 1st FCU, 5000 Louise Drive, P.O. Box 40, Mechanicsburg, PA 17055 Rev 8/10/15
EZ Call 1-800-283-4372