Please complete this form to send your updated details to our Accounts team Please make sure you fill in all required (*) fields.

Full Name *
 
Account Number (if known)
 
Birth Date *
 
Your Email Address *
 
Would you like to receive your account statement via email? *
If you choose Yes your account will receive a $5 credit automatically
 
Mobile Phone
 
Landline Phone
 
Home Address *
Occupation
 
Employer
 
 
 
 
Confirmation Code
This system prevents spamming, please enter this code in the box below
Confirmation Code
 
Enter Code *
 
 
 
 
Call us on phone: 07 847 9089
 
 
Visit our store and our experienced staff will be happy to help
 
© Copyright Forlongs, All Rights Reserved     Terms & Conditions    Privacy Statement    View Desktop Version