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Balance Transfer Request
Request to transfer balances from other creditors to KEMBA. Enter one form per transfer request.
Name
*
Required
First
Middle Initial
Last
Phone
*
Required
Best contact Number
Best Time to Contact
*
Required
:
Hours
Minutes
AM/PM
AM
PM
AM/PM
This form will be directed to our Credit Card Manager. Please indicate the best time for them to contact you to finalize your request.
Email
Balance Transfer Amount
*
Required
Please enter a number from
300.00
to
25000.00
.
How much would you like to transfer to your KEMBA Credit Card? Low balance transfer fee, maximum of $10!
Creditor Name
*
Required
Where are you transferring a balance from?
Payoff Address
*
Required
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
What is the address a payment/ payoff should be mailed to? (Return address from your payment slip on your statement)
Electronic Signature
*
Required
First
Last
By signing, I agree that I am applying for a KEMBA loan product. I understand this loan is subject to credit review and underwriting criteria. I give KEMBA Credit Union permission to contact me regarding my request.
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