Use this form to transfer balances
from your other high rate credit or department store cards.
Complete and SUBMIT this form for all the account you would like
to pay off from your accounts at the Credit Union. Please continue
to make payments on these accounts until your statements for these
accounts show that the payments have been posted. The Credit Union
is not liable for any late payments or other associated fees.
Please make sure to complete all information requested. You may
submit additional forms if you would like to transfer additional
balances up to your available credit limit.
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Your Name
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Your Credit Union Member Number
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What account should we transfer fund from:
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Your Email Address |
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Daytime Phone Number (in case we have any questions) |
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1. Exact Amount to Transfer
$
Card/Acct Number to be paid off
Issuer (e.g. Bank) Phone Number
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Name of Card Issuer (e.g. Bank
Name)
Address to send payoff (e.g. Bank Address)
City, State, Zip
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2. Exact Amount to Transfer
$
Card Number to be paid off
Issuer (e.g. Bank) Phone Number
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Name
of Card Issuer (e.g. Bank Name)
Address to send payoff
(e.g. Bank Address)
City, State, Zip
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