Balance Transfer Request Form
  1. Member Name(required):
    Please let us know your name.
  2. Member Account #(required):
    Please let us know your account number.
  3. Request 1
  4. Credit Name(required):
    Please provide the name of account.
  5. Account Number(required):
    Please provide your account number.
  6. Transfer Amount(required):
    Please enter the amount you wish to transfer.
  7. Payment Address:(required):
    Please enter the payment address.
  8. Request 2
  9. Credit Name:
    Please provide the name of account.
  10. Account Number:
    Please provide your account number.
  11. Transfer Amount:
    Please enter the amount you wish to transfer.
  12. Payment Address:
    Please enter the payment address.
  13. Request 3
  14. Credit Name:
    Please provide the name of account.
  15. Account Number:
    Please provide your account number.
  16. Transfer Amount:
    Please enter the amount you wish to transfer.
  17. Payment Address:
    Please enter the payment address.
  18. Request 4
  19. Credit Name:
    Please provide the name of account.
  20. Account Number:
    Please provide your account number.
  21. Transfer Amount:
    Please enter the amount you wish to transfer.
  22. Payment Address:
    Please enter the payment address.
  23. Balance Transfer Terms and Conditions: Balance Transfers are processed in accordance with your Credit Application. The requested amount for transfer may not exceed your available credit. When you transfer a balance using this form, the transaction will be treated as a Retail Purchase and there will be no balance transfer fee.

    Once the transfer has been accepted, it may take up to four weeks to process. However, most payments are made sooner. Accordingly, you should continue to make required payments with your other creditor(s) until you confirm that the transfer is complete.

    If you transfer a balance that contains a dispute with a creditor, you may lose certain dispute rights. For more information please call 281-870-8000, or toll free at 888-907-1413.

  24. Email Address(required):
    Invalid email address.
  25. Alternate Email:
    Invalid email address.
  26. Mobile Phone(required):
    Invalid phone number format. Please use this format: 123-456-7890
  27. Alt. Mobile Phone:
    Invalid phone format. Please use this format: 123-456-7890
  28. Enter last four digits of your SSN to verify(required):
    Invalid Input
  29. ANTI-SPAM: Please enter the four characters below so we know you're human.(required):
    <strong>ANTI-SPAM:</strong> Please enter the four characters below so we know you're human.
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