Loyalty Point Redemption Request
Full Name
*
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Account Number
*
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Date fee was charged
*
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Select Fee: *
Bill Pay Inactivity Fee
Overdraft Transfer Fee
Return Mail Fee
Paper Statement Fee
Debit Card Replacement Fee
Loan Late Fee
Returned Deposit Fee
Returned Loan Payment Fee
Stop Payment Fee
NSF/ODP Fee
Other Fee* (please list below)
*Name of the fee (if "Other" was selected above)
*
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*ACH Instant Deposit Fees, Wire Transfer Fees, Early Withdrawal Fees, Foreign ATM Fees, and some other fees may not be waived with Loyalty Points.
Number of times fee was charged: *
1
2
3
More than 3 times
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Preferred method of contact if follow up is needed: *
Phone Call
Text Message
Email
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Email or Phone Number
*
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*This request will be reviewed and applied if points are available.
We have received your request. We will work to get your refund processed and will follow up if we have any questions.
Thank you for choosing Public Service Credit Union.