Credit Card Balance Transfer Form
  
Complete, print, sign and mail this form to Star One Credit Union, Attn: Card Services, PO Box 3643, Sunnyvale, CA, 94088-3643. You may also fax it to (408) 543-5203 Attn: Card Services. List account balances you would like transferred to your Star One Credit Union Credit Card. The term "Card Issuer" means the institution through which your card is issued. Specify the exact amount you want transferred. Please continue to make payments on these accounts until your statements for these accounts show that the payments have been posted. Star One Credit Union is not liable for any late payments or other associated fees. Please complete all information requested. You may use extra forms if you would like to transfer additional balances up to the available credit limit.

Member Name
Member Number
Card Type
1. Exact Amount to Transfer
$ , .
Card Number to be paid off
- - -
Issuer (e.g. Bank) Phone Number
 		Name of Card Issuer (e.g. Bank Name)

Address to send payoff (e.g. Bank Address)

City, State, Zip
2. Exact Amount to Transfer
$ , .
Card Number to be paid off
- - -
Issuer (e.g. Bank) Phone Number

Name of Card Issuer (e.g. Bank Name)

Address to send payoff (e.g. Bank Address)

City, State, Zip
By signing below, I authorize you to bill my Star One Credit Union Credit Card in the amount(s) indicated above. I understand that my balance transfer request(s) are processed as Cash Advances according to the terms of Star One VISA Credit Card Agreement and are subject to credit availability and my qualification as a member in good standing. I understand that FINANCE CHARGES will be assessed from the date each balance transfer is posted as a Cash Advance to my Star One VISA credit card account. I understand that you will advise me if you are unable to process my request for any reason. I understand that my request to payoff my credit card balances with other creditors may take up to 30 (thirty) days. I understand that you will process balance transfers in any order you choose, subject to my available credit line. In addition, you will not be responsible for any charges billed to me for the account(s) indicated. I understand that I should continue to make my monthly payments to each creditor until the balance transfer appears as a credit on the account(s). I understand if I transfer an amount for a transaction I dispute, I may lose my rights against the other creditor. I understand that balance transfers must not include requests to pay down or pay off any of my loan accounts with Star One Credit Union.

Member's Signature X___________________________________ Date____________

CU Use Only:   
Processed by ____________________ Date___________
ck # ____________ ck #_________________
SO Acct. No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Fm #RS 150/170-01- 05/00