WGLFCU CREDIT REPORT REQUEST FORM Please Print Full Name by Diditfit

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									WGLFCU CREDIT REPORT REQUEST FORM
                                                  Please Print

Full Name:                                                Account Number:


SSN:                 -                    -              Date of Birth:


Home Phone: (                 )                          Cell Phone: (                )


Email Address:                                            Work Phone: (                   )


Member Address:


City/Town, Sate & Zip:



I hereby authorize Washington Gas Light Federal Credit Union to pull a credit report on my behalf.


Signature:                                                 Date:

Print this form, fill it out and send to us at:
Fax: (703) 750-7626
Stop In: 6801 Industrial Road, Springfield VA 22151
Mail: WGLFCU, PO BOX 1607, Springfield, VA 22151


             **Credit Reports will be mailed to the address on the account only**




                                                                          Fueling Your Dreams - since 1939
                                                                          www.wglfcu.org
                                                                          information@wglfcu.org

								
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