ADDRESS CHANGE FORM Last Name First Name         MI Georgia Power Northeast CU 285 Newton Bridge Rd. Athens GA, 30607 Fax: (706) 559-9602 Street Address                  City                State          Zip Work Home E-mail Account #    _______________________________    Signature    ________________    Date   You Must Print, Sign, and Return to Credit Union (by mail, fax or in person) A signature is needed to complete the process