VISA balance transfer request

							                                         VISA BALANCE TRANSFER REQUEST
                                Complete information is required to accomplish the transfer.
                        You must have an existing SESLOC VISA Credit Card to transfer balances.
                            You may apply for a VISA with our Express Loan Service Application.

 Member Name                                                                 Member #
 Please transfer the balance of the following accounts to my SESLOC VISA Account. I understand that SESLOC may not
 be able to process a balance transfer request if it exceeds my available credit limit.

 Complete this form by typing in the spaces below. Then print, sign in ink, and mail to the address at the bottom of the page.


 Card Issuer                                                          Card Issuer

 Payment Address                                                      Payment Address



 City                                State       Zip                  City                                 State        Zip

 Account #                                                            Account #

 Card Issuer Phone #                                                  Card Issuer Phone #

 Amount to Transfer $                                                 Amount to Transfer $


 Card Issuer                                                           Card Issuer

 Payment Address                                                       Payment Address



 City                                State       Zip                   City                                State        Zip

 Account #                                                             Account #

 Card Issuer Phone #                                                   Card Issuer Phone #

 Amount to Transfer $                                                  Amount to Transfer $


Terms and Conditions:
1) Funds will be sent only to recognized creditors of financial institutions and will not be sent to your home or billing address.
2) Please continue to make your minimum required payment to these creditors until the requested transfer payment appears on the
    account’s billing statement. SESLOC is not responsible for any remaining balance on that account, or for any finance or other
    charges you incur due to delays in transferring a balance.
3) If you transfer an amount for a transaction you dispute, you may lose some or all of your rights against the other creditor.
4) While SESLOC can pay your accounts directly, SESLOC cannot close these accounts for you. If you wish to close any of these
    accounts, write directly to the creditor.
Account balance transfers are contingent upon account setup and assigned credit limit. In some cases, SESLOC may not be able to
process a balance transfer request if it exceeds your available credit limit.

By signing below I authorize SESLOC Federal Credit Union to pay on my behalf each balance or portion of balance I
have designated. I have read the terms and conditions.

Signature                                                                          Date

                                                        Mail or FAX to:
                                        SESLOC Federal Credit Union, Attn: Loan Dept.
                                       P. O. Box 5360, San Luis Obispo, CA 93403-5360
                                                        FAX: 543-1687

                                                                                                                          edt MD 11/9/05