SELCCU: Visa Balance Transfer Form

Visa Balance Transfer Form

Transfer your high interest rate credit card balances to your SELCCU Visa®.

If you do not currently have a SELCCU Visa®, you will need to complete an application. Please call 440-324-3400 / 800-451-6315, visit our main office in Elyria or our Lorain branch, or applyonline through SELCCU Online.

Please read the VisaDisclosure before completing all the necessary information.

Visa ® Platinum Rewards Credit Card Balance Transfer

Member Name

Member Acct. #

Street Address

City

State

ZIP

Home Phone #

Work Phone #

Cell Phone #

By entering your initials and the date, you hereby verify that you have read, understand and agree to the Terms & Conditions of participation in SELCCU's Visa Balance Transfer.

Member Initials

Date (00/00/0000)

Balance Transfer to be Made to: Amount of Transfer

Name on Credit Card

Name of Financial Institution/Credit Card Issuer

Credit Card Acct. #

Credit Card Billing/Mailing Address

City/State

ZIP

2nd Balance Transfer to be Made to: Balance Transfer to be Made to: Amount of Transfer

Name on Credit Card

Name of Financial Institution/Credit Card Issuer

Credit Card Acct. #

Credit Card Billing/Mailing Address

City/State

ZIP

3rd Balance Transfer to be Made to: Balance Transfer to be Made to: Amount of Transfer

Name on Credit Card

Name of Financial Institution/Credit Card Issuer

Credit Card Acct. #

Credit Card Billing/Mailing Address

City/State

ZIP

Click submit to complete this form!

Visa Balance Transfer Form

Visa ® Platinum Rewards Credit Card Balance Transfer

Main Office

Main Office #

LORAIN BRANCH:

Lorain Branch #

TOUCH-TONE TELLER:

VISA® CREDIT CARD

VISA® CHECK CARD ATM

VISA® GIFT OR TRAVEL