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Change of Address Form
Change of Address
Not receiving your coupon book? Have you recently moved and want to update your address? Fill out the form below to update your information.
Please fill out all of the fields below.
Bi-Mart Card Number:
Remove Coupon Book Subscription
Local Store Location:
- Select Your Store -
Albany (OR)
Aloha (OR)
Ashland (OR)
Baker City (OR)
Beaverton (OR)
Bend (OR)
Cheney (WA)
Clarkston (WA)
Coos Bay (OR)
Corvallis (OR)
Corvallis/Philomath Hwy (OR)
Cottage Grove (OR)
Creswell (OR)
Damascus (OR)
Deer Park (WA)
East Wenatchee (WA)
Ellensburg (WA)
Emmett (ID)
Eugene/18th & Chambers (OR)
Eugene/River Road (OR)
Eugene/Royal (OR)
Eugene/Willakenzie (OR)
Florence (OR)
Forest Grove (OR)
Grants Pass (OR)
Gresham (OR)
Hermiston (OR)
Hillsboro (OR)
Junction City (OR)
Klamath Falls (OR)
La Grande (OR)
LaPine (OR)
Lebanon (OR)
Lincoln City (OR)
Madras (OR)
McMinnville (OR)
Medford/Bear Creek (OR)
Medford/W. Main St. (OR)
Molalla (OR)
Monmouth (OR)
Newberg (OR)
North Bend (OR)
Ontario (OR)
Orchards (WA)
Oregon City (OR)
Pendleton (OR)
Portland/Halsey (OR)
Portland/Meadowland (OR)
Portland/Woodstock (OR)
Prineville (OR)
Redmond (OR)
Roseburg (OR)
Salem - North/Keizer (OR)
Salem/East Lancaster (OR)
Sandy (OR)
Sisters (OR)
Springfield/Mohawk (OR)
Springfield/Thurston (OR)
Stayton (OR)
Sunnyside (WA)
Sutherlin (OR)
The Dalles (OR)
Tigard East (OR)
Vancouver/Falk Road (WA)
Veneta (OR)
Walla Walla (WA)
Washougal (WA)
Weiser (ID)
Winston (OR)
Woodburn (OR)
Yakima/5th Ave. (WA)
Yakima/Fruitvale (WA)
First Name:
Last Name:
Last Name Has Changed
(include your prior name)
Prior Last Name:
Current Address:
City:
State:
Zip Code:
Prior Address:
City:
State:
Zip Code:
Additional Comments:
Please provide one or both of the following fields in case there are any questions about the information provided above:
Phone: (i.e. 541-555-1234)
Contact E-Mail Address:
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Change of Address
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