Credit Card Balance Transfer Request
Simply complete this form and return it to RVCCU. We'll take care of the rest.

1. Card Issuer ________________________________________   Amount to Transfer $__________ . _____

    Account # ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___

    Payment Address __________________________________   City _______________   ST ____   Zip ______


2. Card Issuer ________________________________________   Amount to Transfer $__________ . _____

    Account # ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___

    Payment Address __________________________________   City _______________   ST ____   Zip ______


3. Card Issuer ________________________________________   Amount to Transfer $__________ . _____

    Account # ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___

    Payment Address __________________________________   City _______________   ST ____   Zip ______


Terms and Conditions
1. If transfer information you provide is incomplete, RVCCU will not be able to process the transfer request. Transfers will be sent to only recognized creditors or financial institutions and will not be sent to your home or billing address.
2. Please continue to make your minimum required payment until the request transfer payment appears on that account's billing statement. RVCCU is not responsible for any remaining balance on that account, or for any finance or other charges you incur due to delays in transferring a balance.
3. If you transfer an amount for a transaction you dispute, you may lose some or all of your rights against the other creditor.
4. While RVCCU can pay your accounts directly, RVCCU can not close them for you. If you wish to close any of the transfer accounts, you must do so yourself.
5. Account balance transfers are contingent upon account setup and assigned credit limit. In some cases RVCCU may not be able to process a balance transfer request.


By signing I authorize Roanoke Valley Credit Union to pay on my behalf each balance or portion of the balance I have designated. I have read the terms and conditions above.

Member Account # __________________________   Name (Please Print) _________________________

Signature _______________________________________   Date ____________________

Mail to:
Roanoke Valley Community CU
Attn:  Member Service
P. O. Box 13045
Roanoke, VA  24030

or Fax to:
(540) 982-3937