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Direct Deposit Request Form

Here are two easy steps to sign up for direct deposit:

Step 1. Complete and print the Direct Deposit Form below.
Step 2. Mail or fax to:

AEA Federal Credit Union
Member Communications Center
1780 S. First Avenue
Yuma, AZ 85364
Fax: 928.783.2660

Questions? Please contact us for assistance.

Name:
 
Member Number:
 
Social Security Number:
 
Street Address:
 
City:
 
State:
 
Zip:
 
Home Phone:
 
Work Phone:
 
Company Name:
 
Address:
 
Deposit to: Primary Savings
Primary Checking Account (List 10 digit account number)
 
Amount: Entire Paycheck
Partial Paycheck
List Amount $
 
I authorize the company above to make deposits to my AEA Federal Credit Union account. In the unlikely event of a deposit error, I authorize the company or AEA Federal Credit Union to make adjustments to correct the error.
 
Member's Signature:                                                  
 
Date:                                          
 
For Credit Union Use only:
As representative of AEA FCU, I certify that the Credit Union agrees to receive and deposit the payment indicated above according to the instructions below:

Routing Number: 322173217

Account Number:                                                    


AEA FCU Signature:                                                    

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