Stop Payment Request Order:
Date:
*
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Member Number:
*
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Contact Phone Number:
*
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Payable to:
*
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Check Number:
*
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Transaction Amount:
*
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Reason for Stop Payment:
*
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Type of Transaction *
One-Time ACH payment
Recurring ACH payment
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Thank You for Submitting your Stop Pay Request Form.
A CU Member Service Representative will be contacting you shortly to complete this process.