For changes to your address, please complete our short form, print, sign and deliver or mail it to your nearest Mountain West Bank, Division of Glacier Bank, location. If you have any questions, please give us a call. Kootenai county residents call 765-0284, or outside the area call 800-641-5401.

* Indicates a Required Field.

Change of Address Form
Account Name: *
Account Number: *
Old Address: *
City: *
State, ZIP: *
,
New Physical Address: *
City: *
State, ZIP: *
,
New Mailing Address:
(If different from physical address)
City:
State, ZIP:
,
Day Time Phone: *
(000-000-0000)
Evening Phone: *
(000-000-0000)
Customer Name Requesting Change: *
Tax ID #: *
I request the above changes be made to my customer information file.
Signature: ________________________________________ Date: __________________