BCCU VISA BALANCE TRANSFER FORM Switch Higher Rate Balances To Your Low Rate BCCU Visa Card!

Member Name ______Address ______City ______State ______Zip ______Home Phone ______Work Phone ______It’s Easy! BCCU Visa Number ______Member Number ______1. Get the current balance and most recent statement for each of the credit card Exact Amount To Be Paid 1 Visa Mastercard Discover Retail accounts you wish to transfer to your BCCU Visa. Creditor Name ______$ 2. Enter the appropriate Account Number ______information on this form Payment Address ______for each balance you want to transfer. You may City ______State ______Zip ______transfer any amount(s) up to your available credit limit. 2 Visa Mastercard Discover Retail Exact Amount To Be Paid 3. Sign and mail or fax this form to: Creditor Name ______$ Account Number ______Payment Address ______City ______State ______Zip ______Bellwether Community Credit Union 425 Hooksett Road Manchester, NH 03104 Visa Mastercard Discover Retail Exact Amount To Be Paid 3 Fax: 603.429.1040 Creditor Name ______$ Account Number ______Payment Address ______City ______State ______Zip ______

Terms and Conditions 1. If the transfer information you provide is incomplete, BCCU will not be able to process the transfer request. Transfers will be sent only to recognized creditors or financial institutions and will not be sent to your home or billing address.

2. Please continue making your minimum required p ayments until the requested transfer p ayment appears on your account’ s billing statement. BCCU is not responsible for any remaining balance on the account, or for any finance or other charges you incur due to delays in transf erring a balance.

3. If you transfer an amount for a transaction you dispute, you may lose some or all of your right s against the other creditor.

4. While BCCU can p ay your accounts directly, BCCU cannot close them for you. If you wish to close any of the transfer account s, you must do so yourself.

5. Account balance transfers are contingent upon account setup and assigned credit limit. In some cases BCCU may not be able to p rocess a balance For Office Use Only transfer request. Date: Initials: Signature ______Date _____ / _____ /_____ Rev 3/08