Personal Information
Please fill out the required fields.
* Indicates a required field

*First Name  Middle Initial 
*Last Name
* Street Address
*City, State Zip ,
*Social Security # or Tax ID (Exclude hyphens/dashes)
*Day Phone ( ) -
Evening Phone ( ) -
(Business Hours: Monday through Friday 8:00 am - 6:00 pm, Saturday 9:00 am - 3:00 pm and Sunday 10:00 am – 3:00 pm)
*E-mail address



Change of Address


All accounts reported under the Social Security number or Tax ID number provided in the section above will be changed to reflect this change of address unless you tell us differently. Please use the Personal Information Section above for your Previous Address information and give us your New Address information below. In addition, required fields are marked with an * in this section and must be completed before submitting the form. If you do not wish to submit your last deposit information and your SS# or Tax ID# on this form, then please print, complete and sign this form (where indicated) and fax or mail it to us. Please use the fax number/address found at the end of this form. Please allow 1 week for completion of your request.

*Previous Address
*Previous City, State Country Code ,
*New Address
*City, State Country Code ,
*New Day Phone Number ( ) -
New Evening Phone Number ( ) -
*Account # for Verification Purposes
*Date of Last Deposit on Account # Above
*Amount of Last Deposit on Account # Above
Account Number(s)
Additional Information


Your Signature (only if you choose to not submit electronically)


Sign Here:


Mailing Address:
Cambridge Savings Bank
Customer Service Center
P.O. Box 380206
Cambridge, MA 02238-0206

FAX (617) 441-7004