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Balance Transfer Promo
Authorization Form
Revised 02-27-2008
Cardholder Information
_________________________________ _________________________________
Name Transit EFCU Account Number
_________________________________ _________________________________
Telephone Number MasterCard Account Number
Balance Transfer Information
_____________________________ _______________________ $
Financial Institution Name Account Number Transfer Amount
_____________________________ _________________________________
Financial Institution Address City/State/Zip
_____________________________ _______________________ $
Financial Institution Name Account Number Transfer Amount
_____________________________ _________________________________
Financial Institution Address City/State/Zip
_____________________________ _______________________ $
Financial Institution Name Account Number Transfer Amount
_____________________________ _________________________________
Financial Institution Address City/State/Zip
_____________________________ _______________________ $
Financial Institution Name Account Number Transfer Amount
_____________________________ _________________________________
Financial Institution Address City/State/Zip
Terms and Conditions
Balance transfers are contingent upon issuance of your account with us. Each transfer will reduce your
available credit just like any other transaction. I authorize TEFCU to pay off the accounts listed above by
issuing a check to the financial institution indicated and adding the total amount to my TEFCU MasterCard
Account. I understand that payment amounts are based on the information listed above and may not pay
the balance in full. TEFCU is not responsible for late payments. You must continue to make payments on
the above accounts to avoid missed payments. I also understand there is a balance transfer processing fee
of 1% of the balance, up to a maximum of $50.00, which will be applied to your TEFCU MasterCard
Account. Delinquencies of one payment or more will void promotional rate – standard rates will then
apply to remaining balances.
By signing, I agree to the Terms and Conditions listed above.
Member Signature Date
Transit EFCU
Please complete all applicable
Attn: MasterCard Services fields, fold, and mail to the
2000 Bladensburg Rd. NE address to the left.
Washington, DC 20018 Or fax to: (202) 529-6257
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