Change of Address Form
Teamsters Local 572

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Print out and mail or fax to: Local 572, 450 E. Carson Plaza,
Suite A, Carson, CA, 90746 Fax: (310)515-0942

Company _________________________________________

 

Your Name:________________________________________

SS (social security)#_____________________________

Your Old Address:___________________________________
__________________________________________________
Your New Address:__________________________________
_________________________________________________
Your new Phone Number:______________________________
Comments:__________________________________________