Address Change Request

    Organization Name

    Merchant ID

    Your Name

    Your Title

    Your Email

    Your Current Address

    Street Address

    City, ST, ZIP

    Your New Address

    Street Address

    City, ST, ZIP

    Reason for Request

    How would you like us to apply the new address?
    DBA AddressLegal AddressBothMailing Only

    Comments

    Please upload one of the follow documents:

    • USPS Processed Envelope showing old and new addresses
    • Utility Bill showing new address
    • Updated legal entity paperwork showing the new address

    Mailing Address Only:

    • Updated business card
    • A list of company officers with the address
    • Screenshot of website with the address
    • E-mail from an e-mail address on file listing the new address.