Main Street Bank - Loan Officer Update Borrower Information

	About Crystal Groty

	Crystal Groty Homepage

	Update Customer Information

We are Northville's own community bank. At Main Street Bank we promise to provide you with the finest experience in banking. Because we are based in your hometown, we can respond to your needs quickly and directly, while offering the latest in financial products and services. At Main Street Bank the atmosphere is friendly and warm, just like home. We look forward to meeting you and hope you will allow us the privilege of becoming your hometown bankers.

Rick Shaffner
Chairman & CEO

Audrey Mistor
President & COO

Main Street Bank

Update Borrower Information
Name*	(First Last)
Address
City, State, Zip Code	(XXXXX-XXXX)
Day Phone Number	((XXX) XXX-XXXX)
Evening Phone Number	((XXX) XXX-XXXX)
Cell Phone Number	((XXX) XXX-XXXX)
Email Address
Date of Birth	(MM/DD/YYYY)
Preferred Method of contact*	by Phone by eMail
Preferred Time to contact*

Have you had any significant changes?	[] Job Change [] Change in Salary [] Martial Status [] Number of Dependants [] Tution Expenses [] Moving in next 12 months
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(248) 319-0680