Change of Address Form
Please help to keep us informed of your current address by completing the form below.


1. Complete all areas of the form below.
2. Print out this form.
3. Sign the change of address form in ink.
4. Mail the change of address form to:

   American Bank
   4029 W. Tilghman Street
   Allentown, PA 18104

Address Change Effective Date 

First    MI    Last 

Social Security Number 


New Street Address  (if a PO Box, a physical address must be provided below)
        City            State    Zip 

Physical Address  (required if you enter a PO Box above)
        City            State    Zip 

Home Phone Number      Work Phone Number 

Email Address 

List additional Persons with the same address change (each person listed below will be required to sign this form. If the address change is for a minor, incompetent, etc., the form should be signed by the responsible individual such as the account custodian:

     First         MI         Last   
     Social Security Number        Email Address   


     First         MI         Last   
     Social Security Number        Email Address   



Would you like to order checks with your new address? (Printing charges may apply)
Yes    No 

Do you have an American Bank Credit Card?
Yes    No 


Signature __________________________________________ Date _______________

Signature __________________________________________ Date _______________

Signature __________________________________________ Date _______________



For your protection, your address may be changed only upon receipt of a signed change of address form provided we can verify your signature. In some cases we may contact you for further verification.