Balance Transfer Request

Credit Card Balance Transfer Request

First Name *

Middle Initial *

Last Name *

Birthday (MM/DD/YYYY) *

Social Security (000-00-0000) *

Are you a current member of XXXXX Credit Union? *

Yes

No

Personal Information

Address Line 1 *

Address Line 2

City *

ZIP Code *

What is your preferred contact method?

Email

Phone Call

Email Address

Phone Number

Annual Income *

Credit Card Information

Who is the lender that you are transferring a balance from? *

Upload a copy of your last statement from the lender you are transferring a balance from.

Click or drag & drop image here to upload

Dollar Amount Requested *

Thank you for submitting your Balance Transfer Request. A member service representative from XXXXX Credit Union will contact you within 24-48 hours.