Change of Address Form
Teamsters Local 63

Select File -> Print then click here to

Print out and mail or fax to: 845 Oak Park Road., Covina, CA 91724 (626) 859-4084 Fax
or 379 W. Valley Blvd. Rialto, CA 92376 (909) 877-2452 Fax
Your Name:________________________________________

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