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Change of Faxaway Account Information

Please fill in all the following information to assist in updating your account. For security reasons, we request that all requests to change account information be submitted from the main account address.

**** All fields are required, unless otherwise noted. ****

E-mail Address:
Name:	(As it appears on issuing credit card)
Billing Address:	(As the issuing bank has on file for the card holder)
City:
State:
Country:
Postal Code:
Contact Phone Number:
Card Number:	(Please do not use -'s when entering your number)
Expiration Date:	Month: Year:
Additional Comments: (optional)

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