Name 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 *
Has the company been sold? *
New Information *
New Name
Equipment Information *
Billing Address
Current Phone Number
Current Fax Number
Email Address
Comments
By entering in the name and date you are authorizing Bankers Leasing Company to make the requested changesabove to your account.
Authorized By *
Date *
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