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Request Visa^® Balance Transfer

REQUEST TO TRANSFER CREDIT CARD BALANCES TO SHAREPOINT CREDIT UNION VISA

Please complete this form for each individual Balance Transfer request.

* Required Fields

Member Name:

Member Number:

Phone Number:

Email Address:

SharePoint Visa #:

Verify Credit Limit on the Visa credit card:

Verify Last amount of the payment to the credit card:

CARD BALANCE TO BE PAID OFF

Payment payable to:

Address:

Address 2:

City:

State:

ZIP:

Account #:

Pay Amount:

Name on the Account:

*We will begin charging you interest on cash advances and balance transfers on the date of the transaction or the first day of the billing cycle in which the transaction is posted to your account, whichever is later (transaction date). For additional details see disclosure.

Security Code:

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Request Visa® Balance Transfer

Request Visa^® Balance Transfer