Bi-Mart - Change of Address

Not receiving your membership savings book? Have you recently moved and want to update your address? Fill out the form below to update your information.

Bi-Mart Member Number

Remove savings book subscription Yes No

First Name

Last Name

Previous Last Name (if changed)

Current Address

City

State

Zip Code

Prior Address

Prior City

Prior State

Prior Zip Code

Additional Comments

Local Store Location

Please provide both of the following fields in case there are any questions about the information provided above:

Contact E-Mail Address

Phone (i.e. 541-555-1234)