Products & Services Application

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First California Federal Credit Union Third Party Cross Account Transfer

Authorization Request
Products and Services Application
Transfer funds to other Membership Accounts through Virtual Branch and
o VISA Debit Card* Return to:
Quick-Phone Audio Response:
o Total Teller ATM Card* First California Federal Credit Union

o Other:____________________ Attn:
Transfer funds to another FCFCU member’s account. Funds transferred to
third party accounts are non-revocable and cannot be reversed once the
o Other:____________________ Products & Services transfer has been made. Transfers from your savings are limited to three per
2525 E Shields Ave statement period.
Fresno, CA 93726
Record YOUR Account Name and Number FROM which you wish to transfer
funds:
Member # Share Draft #

Member Name Joint Owner’s Name _______________________ ______________________________


Account Name Account Number
Address Address I hereby request Third Party Cross Transfer capabilities from my account as
listed above, to the third party account as recorded below. I acknowledge that
City, State, Zip City, State, Zip I am the joint owner on the listed accounts. By signing below, I agree to the
terms and conditions of the Virtual Branch Terms and Conditions listed in the
Truth in Savings disclosure, which is available to me at the credit union upon
Phone Date of Birth Phone Date of Birth request and was provided upon application. Third Party Cross Account
Transfer capabilities are available through the Quick-Phone Audio Response
Driver’s License SSN Driver’s License SSN System.

Record the THIRD PARTY Account Name and Number TO which funds will
Employer Work No Employer Work No be transferred:

Mother’s Maiden Name Mother’s Maiden Name


_________________________ ____________________________
Account Name Account Number

Email Address: ___________________________________________________ _________________________ ____________________________


Account Name Account Number
Cell Phone: __________________ Joint Cell Phone: __________________
_________________________ ____________________________
By signing below, I hereby make application to use the above marked Products and Services. By using any Account Name Account Number
of the products or services that I am approved for, I hereby agree to be bound by the applicable terms and
conditions contained in the agreements and any amendments hereto governing such products and _________________________ ____________________________
services. I understand that a current copy of the “Truth in Savings” disclosure will be furnished to me upon Account Name Account Number
approval and the implementation of these services. I authorize First California Federal Credit Union to
obtain a consumer credit report and I understand that this information may be used in the approval I acknowledge that I am joint owner on the above accounts. As a recipient of
process. an authorized Third Party Cross Account Transfer of Funds, I understand and
agree that I may view the number and types of accounts maintained on the
_________________________________ _________________________________ above account numbers through the Virtual Branch transfer function. As the
Signature (Primary Member) Date Signature (Joint Owner) Date sender, I cannot perform withdrawals or transfers from these accounts through
the Virtual Branch service.
_____________________________________ _____________________________________
Signature (Joint Owner) Date Signature (Joint Owner) Date ____________________________________ ______________________
Member Signature Date
A separate application may be required for some products and services. *Requires Joint Signature.

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