Beaver Valley Federal Credit Union

Instructions: This form authorizes you to make transfers from your share accounts to the share accounts of up to nine additional Beaver Valley FCU members through TELLER-PHONE. You can hold a maximum of nine numbers on file at any one time. To add or delete an account you must fill out a new Member Transfer Authorization Form. Instructions for transfering funds can be found in your TELLER-PHONE Directory.

Please mail me a transaction guide.

Your Name: Home Phone:
Your Account #: Work Phone:
Your Social Security #:    

ADD

DELETE

TO MEMBER NAME

TO MEMBER ACCOUNT #

I/We authorize the above Beaver Valley Federal Credit Union member accounts to be receiving accounts for transfer through TELLER-PHONE. I/We understand that I/we can only transfer money into the accounts listed above. I/We cannot receive money from those accounts. I/We acknowledge receipt of the disclosure statement informing us of our rights under the Electronic Funds Transfer Act.

X________________________________
Signature
X________________________________
Date
Please check one:

   

Primary Member
Joint Owner

 

 
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