AEA Federal Credit Union

ENROLL NOW

Name:

Member Number:

Daytime Telephone:

Loan Payment Amount: $ per month

Type of Loan:

Loan ID:

Do you have automatic loan payment?

What month would you like to skip?

Processing Fees:

Signature Loans: $10.00 per skipped payment.

All Other Loans: $20.00 per skipped payment

Please Check One:

Enclosed is a check payable to AEA FCU in the amount of $

Transfer funds from Member #: Primary Savings Primary Checking

Member Signature:

Date:

AEA FCU reserves the right to deny this offer for any reason. Offer subject to cancellation. Acceptance of this offer will extend the term of your loan.** Finance charges will continue to accrue on your loan. Following the skipped month, your payment will resume as usual. Skipping a payment may effect the amount of Gap Insurance claims. Fees waived on open-end auto loans. Some restrictions apply.

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All rights reserved.