HOUGHTON MIFFLIN EMPLOYEES.doc

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					               Houghton Mifflin Harcourt Employees Federal Credit Union
                                        181 Ballardvale Street PO Box 7050
                                            Wilmington MA 01887-7050
                       Phone: 978-661-1425   email: credit.union@hmhpub.com   Fax: 978-661-1325



                       Visa Balance Transfer Request

      Name

      CU Account Number

      CU Visa Credit Card Number
      (last 5 digits)
      Phone Number

      Email Address




       Issuer (bank, credit union, other
      financial institution, etc.)
      Complete mailing address for
      payments to that credit card
      (Street/P.O. Box, City, State, Zip
      Code)
      Credit Card Account Number

      Amount to be transferred

      Close Account? Y/N




I authorize Houghton Mifflin Harcourt Employees Federal Credit Union to make a payment to
the balance due on the above credit card by means of a CASH ADVANCE charged to my
Houghton Mifflin Harcourt Employees Federal Credit Union Visa.

Finance charges will accrue on cash advances from the date the advance is made.
(Cash Advance rate is 10.9% APR).




Signature:          __________________________                        Date_         _____________

				
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