Fast Cash
Credit Authorization
 
I (we) hereby authorize Members Federal Credit Union, to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries in error to my (our) account indicated below and the financial institution named below, to credit and/or debit the same to such account.
 
Funds will be withdrawn from your account on the day of the request. The withdrawn funds will be received the next business day, (Monday - Friday 8:00 a.m. - 5:00 p.m.) into my (our) account at the following institution:
* Required Field  
  Financial Institution Name*
  Branch*  
  Address*
  Address 2
  City*
  State*
  Zip*  
  Routing Number*  
  Account Number*  
   
Note: Please verify routing numbers with your financial institution.
 
I (we) understand that I (we) will be held responsible for any penalties, charges or fees associated with inaccurate information.
 
I (we) understand that the first five (5) transactions per month are free of charge, however over and above the 5, I (we) understand a fee of $5.00 will be charged per transaction.
 
  Type of Account*    
 
This authority is to remain in full force and effect until Members Federal Credit Union has received written notification from me (or either of us) of its termination. Termination will be completed within five (5) business days of notice.
 
  Member Name*  
  Member Number*    
  Phone Number*    
  Email Address  
  Date*    
  Joint Owner Name * Needed if joint owner is authorized to request funds.
  Password*    
  Secret Question*
 
 
Before any transactions occur, a credit union representative will contact you via the telephone number in our system upon reciept of your request to verify information and identity.
Thank you!

E-mail: info@mbrcu.comBookmark: www.mbrcu.com

©2002 Members Federal Credit Union
6 Abilene Street, Aurora, CO 80011-8749
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