AEA Federal Credit Union

Member-to-Member Transfer Form

This form authorizes you to transfer funds into separate member number(s) and account(s) by utilizing AEA Federal Credit Union’s Tellerphone, hereinafter referred to as the “Credit Union’s Account Access Systems.”

► Please take a minute to complete, sign, and send or fax this form to:
AEA Federal Credit Union
Member Communications Center
1780 S. First Avenue
Yuma, AZ 85364

You are also welcome to fax it to 928.783.2660.

Questions? Please contact us for assistance.

Authorization and Release:

Account Transfer Form

Primary Member Name:

Member Number:

I hereby, authorize the transfer of funds from my member number(s) and account(s) to the following member number(s) and account(s) via the Credit Union's Account Access Systems.

From Member Number	To Member Number	Member Name
Example: 8722000:	850111111	John Smith

I agree to hold AEA Federal Credit Union harmless for all transfers made from my member number(s) and account(s) to the authorized member number(s) and account(s), and release AEA Federal Credit Union from any liability which may arise as a result from any of these transfers of funds via the Credit Union's Account Access System. This includes liability for any checks that may be dishonored.

I understand this release applies to any transfer made from my member number(s) and account(s) to the authorized member number(s) and accounts(s) whether or not I initiate the transfer.

Primary Member Signature:

Date:

Credit Union Use Only:

Processed by:
Teller Number
Date:

Print, Mail or Fax

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