Afena Balance Transfer Request Form
YES, I want to transfer the amount shown below on the credit card account with a balance transfer to my Afena VISA credit card
account number ___________________________________________________________. I understand transfers are subject to my available
credit. If there is not enough credit available to complete my request, a partial payment may be issued. I will receive a confirmation
letter for the approved transfer and the exact dollar amount paid to the lender.
(Please Print) List the most important transfer first. Attach additional requests on a separate sheet of paper.
Card Issuer Complete Account Number
Payment Address City State Zip Exact Dollar Amount to be Paid
By signing below, I certify that I have read and agree to all the terms, authorizations, and disclosures included with this offer.
Signature Date Daytime Phone
*APR = Annual Percentage Rate. Offer good for a limited time. Subject to all terms and conditions in your cardholder agreement. A minimum of $500 per balance transfer is required to receive the special rate.
Rate subject to credit approval - 7.9% APR for Visa Gold, 10.9% for Visa Classic. Continue to make the minimum payment on bills you receive during the transfer period in order to avoid past-due notices and
charges. Transferring balances will not automatically close your accounts. Balance transfers will post as a purchase. Payments and credits are applied to promotional balance first. If payment is received late
once during the life of the transferred balance, the APR will revert back to your original VISA rate. Promotional rate is for 6 months. After promotional period APR’s of 10.9% for Visa Gold and 13.9% for Visa
Classic will apply. Offer expires February 20, 2010.