Request Form

If you have any questions about our products and services, please complete this form and click "submit". Don't forget your contact information so we can get back to you. Fill out the form below. Please do not send confidential or sensitive information electronically.

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What would you like information about?

Checking Accounts

Savings Accounts

Consumer Loans

Home Financing

Business Services

Employment Opportunities

Other

Comments, Questions or Suggestions

Please tell us about yourself

Are you currently a customer of Melrose Cooperative Bank?

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If "Yes", what type of account do you currently hold? Please choose all that apply.

Personal Checking

Personal Savings

Business Checking

Mortgage

Consumer Loan

Other

How would you prefer we get back to you? PhoneEmailFaxUS Mail

The best time to reach you?

Please include information necessary for us to contact you.

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Please note: Time-sensitive requests should not be sent through our information request form. Please call (866)665-2500 to speak with a customer service representative. Stop payment requests, wire transfer requests, lost ATM or MasterMoney™ card notifications, lost passbook notifications and ATM/debit card disputes WILL NOT BE ACCEPTED if sent via e-mail or this request form. Please call (866)665-2500 if you require assistance with these matters.