NTA Life | Bank Account / Credit Card Change

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Policyholders

Bank Account / Credit Card Change
If you would like to change the bank account number or credit card number which we are currently using to process the payment of your premiums, click the link below to download and print the form. After printing the form, please complete all applicable sections, and sign where indicated.
	Bank Account / Credit Card Number Change Form	The Adobe® Reader® is required to view the forms. Free Download
Once you have completed the form, mail it to the address below or fax to (972) 532-2197:
National Teachers Associates Life Insurance Company Attn: Customer Service P.O. Box 2429 Addison, TX 75001-5910

Questions?
Call Our Customer Service
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(888) 671-6771
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