Address Change Form

PDF Version of Form

Please complete and return to Bankers Leasing Company via email to welcometoblc@banleaco.com, fax to 800-342-6855 or mail to PO Box 7740, Urbandale, IA 50323. If you have any questions please contact customer service at 800-247-8136 x 306.

 

To submit an application online, complete the simple form below:

 

Lease # *

 

Customer # *

 

Legal Business Name *

 

 

Old Address

Equipment Location *

City *

State *

Zip *

County *

 

Billing address is same as physical address

 

Billing Address

City

State

Zip

County

 

 

New Address

Equipment Location *

City *

State *

Zip *

County *

 

Billing address is same as physical address

 

Billing Address

City

State

Zip

County

 

 

Current Phone Number *

 

Current Fax Number

 

Email Address *

 

Additional Comments