Balance Transfer Request

Please complete and submit the form below to initiate your balance transfer.

Card Holder Information

• First Name
  OK First Name is required
• Last Name
  OK Last Name is required
• Phone
  OK Phone is required
• Email
  OK Email is required

Transfer Information

Please provide the information as it appears on your credit card statement/bill.
• Credit Card Company Name
  OK Credit Card Company Name is required
• Account Number
  OK Account Number is required
• Payable To
  OK Payable To is required
• Address
  OK Address is required
• City
  OK City is required
• State AK - AlaskaAL - AlabamaAR - ArkansasAZ - ArizonaCA - CaliforniaCO - ColoradoCT - ConnecticutDC - District of ColumbiaDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiIA - IowaID - IdahoIL - IllinoisIN - IndianaKS - KansasKY - KentuckyLA - LouisianaMA - MassachusettsMD - MarylandME - MaineMI - MichiganMN - MinnesotaMO - MissouriMS - MississippiMT - MontanaNC - North CarolinaND - North DakotaNE - NebraskaNH - New HampshireNJ - New JerseyNM - New MexicoNV - NevadaNY - New YorkOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVA - VirginiaVT - VermontWA - WashingtonWI - WisconsinWV - West VirginiaWY - Wyoming
  OK State is required
• Zip
  OK Zip is required
• Amount
  OK Amount is required

Additional Transfers

• Are you transferring additional balances?

  • Yes
  • No
  OK Are you transferring additional balances? is required
• Credit Card Company Name
  OK Credit Card Company Name is required
• Account Number
  OK Account Number is required
• Payable To
  OK Payable To is required
• Address
  OK Address is required
• City
  OK City is required
• State AK - AlaskaAL - AlabamaAR - ArkansasAZ - ArizonaCA - CaliforniaCO - ColoradoCT - ConnecticutDC - District of ColumbiaDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiIA - IowaID - IdahoIL - IllinoisIN - IndianaKS - KansasKY - KentuckyLA - LouisianaMA - MassachusettsMD - MarylandME - MaineMI - MichiganMN - MinnesotaMO - MissouriMS - MississippiMT - MontanaNC - North CarolinaND - North DakotaNE - NebraskaNH - New HampshireNJ - New JerseyNM - New MexicoNV - NevadaNY - New YorkOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVA - VirginiaVT - VermontWA - WashingtonWI - WisconsinWV - West VirginiaWY - Wyoming
  OK State is required
• Zip
  OK Zip is required
• Amount
  OK Amount is required
• Credit Card Company Name
  Optional OK Credit Card Company Name is required
• Account Number
  Optional OK Account Number is required
• Payable To
  Optional OK Payable To is required
• Address
  Optional OK Address is required
• City
  Optional OK City is required
• State AK - AlaskaAL - AlabamaAR - ArkansasAZ - ArizonaCA - CaliforniaCO - ColoradoCT - ConnecticutDC - District of ColumbiaDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiIA - IowaID - IdahoIL - IllinoisIN - IndianaKS - KansasKY - KentuckyLA - LouisianaMA - MassachusettsMD - MarylandME - MaineMI - MichiganMN - MinnesotaMO - MissouriMS - MississippiMT - MontanaNC - North CarolinaND - North DakotaNE - NebraskaNH - New HampshireNJ - New JerseyNM - New MexicoNV - NevadaNY - New YorkOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVA - VirginiaVT - VermontWA - WashingtonWI - WisconsinWV - West VirginiaWY - Wyoming
  Optional OK State is required
• Zip
  Optional OK Zip is required
• Amount
  Optional OK Amount is required

Internal Use Only

• Employee ID
  Optional OK Employee ID is required

Acknowledgement

By clicking submit, I am authorizing Chief Financial Credit Union to issue a check to the above-named payees and to apply the balance amounts to my Chief Financial Credit Union Visa. I understand that there may be fees and finance charges associated with this transaction. I understand that Chief Financial Credit Union will issue and mail a check to the payee(s) listed above and that I am responsible for any payments due prior to the payee receipt and processing of the checks. I have verified that all information provided in this form is accurate.

• • I have read and agree to the terms of the Electronic Signature Act Disclosure available at the link below.
    E-Sign Act Disclosure
  OK I have read and agree to the terms of the Electronic Signature Act Disclosure available at the link below.
  E-Sign Act Disclosure is required

• OK is required