ATTENTION: Do not use this form for transfers between Buffalo Conrail FCU accounts.

To transfer funds between Buffalo Conrail FCU accounts call us at (716) 897-2383 or use Home Banking.

Buffalo Conrail FCU Electronic Funds Transfer

WITHDRAWAL OF FUNDS FROM THE FOLLOWING FINANCIAL INSTITUTION

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Account Type for Withdrawal*

Checking Account

Savings Account

Routing Number*

Account Number*

Withdrawal Amount* (Daily maximum of $1,000)

Withdrawal Date* Any submission made before 3PM, will be processed on the next business day. Submissions after 3PM, will be processed on the 2nd business day. This is NOT a same day service.

Withdrawal Type*

One Time

Recurring

DEPOSIT OF FUNDS INTO THE FOLLOWING CREDIT UNION ACCOUNT

First Name*

Last Name*

Email*

Credit Union Member Number*

Control Number

Account Number

Credit Union Account Type for Deposit*

Checking Account (Enter last 10 digits of account number, located on your check)

Savings Account (For example, enter the number 1 to indicate Share 1)

Credit Union Savings Account Number*

Credit Union Checking Account Number*

I understand that this authorization will remain in effect until I cancel it in writing and I agree to notify BCFCU in writing of any changes in my account information or termination of this authorization at least 10 days prior to the next billing date.

If the above noted periodic payment dates fall on a weekend or holiday, I understand that the payment will be executed on the next business day.

I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as the above-noted periodic transaction dates. I agree to an additional $25.00 charge for each attempt returned NSF, or any transaction that is reversed by the Funding Bank for any reason, which will be initiated as a separate transaction from the authorized recurring payment.

I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute this recurring billing with my bank so long as the transactions correspond to the terms indicated in this authorization form.

I agree to the above