Houghton Mifflin Harcourt Employees Federal Credit Union
181 Ballardvale Street PO Box 7050
Wilmington MA 01887-7050
Phone: 978-661-1425 email: email@example.com Fax: 978-661-1325
Visa Balance Transfer Request
CU Account Number
CU Visa Credit Card Number
(last 5 digits)
Issuer (bank, credit union, other
financial institution, etc.)
Complete mailing address for
payments to that credit card
(Street/P.O. Box, City, State, Zip
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_ _____________