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Green Bay Packers Address Change Request

Green Bay Packers Shareholder Services Address Change Request Name (as it appears on your certificate): Certificate Number: Contact Us: _____ _____ Phone: (Please Print). 855-8GO-PACK (855-846-7225). E-mail: Updated Phone Number: (_____) _____ - _____. Updated E-mail Address : _____. Account Number (if known): _____. Confirm Old Address : _____ (required). Street Address _____ (required). Street Address _____ (required). City State Zip Code New Address : _____ (required). Street Address _____ (required). Street Address _____ (required). City State Zip Code Signature Authorizing Change : _____ (required). Check here to receive the new certificate(s) with the updated Address indicated above.

The Green Bay Packers, Inc. to the address below. The new certificate(s) will be mailed to the updated address along with the canceled stamped original certificate(s). Check here if you do not want to receive the new certificate(s) with the updated address indicated above.

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  Green, Packers, Green bay packers

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