Wire Transfer Form

Member First Name *

Member Last Name *

Member Number *

Enter Phone (must be phone number on file) *

Enter Email (must be email on file) *

We will call you to verify information and email you a form to sign electronically.

Receiver's Information

Receiver's Name *

Receiver's Address *

Receiver's Address 2

Receiver's Account Number *

Bank Name *

Bank Routing Number *

Other details to include (if applicable)

Other Wire Details

Additional Bank (if applicable)

Additional Bank Routing/Account Numbers (if applicable)

Amount and Documents

Amount to Send *

Upload any wire instructions provided by receiver.

Click or drag & drop file here to upload

Upload any wire instructions provided by receiver.

Click or drag & drop image here to upload

Click Submit to send the form to Pheple's Wire Department.

Thank you for your wire request.

The CU's Wire Department will contact you to complete the processing of your request.