MASTERCARD BALANCE TRANSFER REQUEST by xkv17320

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									                      DIAMOND CREDIT UNION
                            MASTERCARD
                     BALANCE TRANSFER REQUEST
 Member Name:

 Member #:                                          Date:                          FSC:

 MasterCard #       Platinum Low Rate              521846 454
                    Platinum Rewards               521846 829
                    Gold                           544209 015
                    Classic                        542359 015
                    Classic Firefighter            542359 372

        Fax to: Card Services Department                      Fax number: 610-326-8079
                              Balance Transfer Information
           (Total amount of balance transfers cannot exceed available credit at time of request)

Creditor Name:
Address:
City:                                                        State:                    ZIP:
Account #                                                     Payoff Amount $


Creditor Name:
Address:
City:                                                        State:                    ZIP:
Account #                                                     Payoff Amount $


Creditor Name:
Address:
City:                                                        State:                    ZIP:
Account #                                                     Payoff Amount $


Creditor Name:
Address:
City:                                                        State:                    ZIP:
Account #                                                     Payoff Amount $


              1600 Medical Drive      Pottstown Pa 19464     610-326-5490    1-800-593-1000

								
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