VISA BALANCE TRANSFER AUTHORIZATION FORM

VISA BALANCE TRANSFER AUTHORIZATION FORM
I want to transfer the amount(s) shown below on the credit card account(s) to my Greater Kentucky Credit Union Credit Card account. I agree to the terms and conditions and I understand transfers are subject to my available credit. If there is not enough credit available to complete my request, a partial payment may be issued.

I will receive a confirmation letter for the approved transfer(s) and the exact dollar amount paid to the lender(s). I understand that I should continue to make all my payments until I receive the confirmation letter.
GTKY VISA Credit Card Number:*
MEMBER NAME:*
E-mail:*
Phone Number:*

Area CodePhone Number
Transfer my balance from the following lenders:
Lender (1) Name:*
Lender Address:*
Account/Card Number with Lender: *
Exact Amount to Transfer: *
Lender (2) Name:
Lender Address:
Account/Card Number with Lender:
Exact Amount to Transfer:
I certify that I have read and understand the contents of this form.
Should be Empty: