Wire Transfer Agreement and Payment OrderWire Transfer Agreement • January 10th, 2014
Contract Type FiledJanuary 10th, 2014Visions FCU Account Information 1. Date Wire to Be Sent: 2. Member Address : 3. Member Name: 4. Daytime Phone: 5. Member’s Account #: 6. Account Share ID: 7. Wire Amount: Beneficiary’s Account Information 8. Beneficiary Name: 9. Beneficiary Address: 10. Beneficiary’ Bank: 12. Bank Routing/ABA/SWIFT: 13. Beneficiary’s Account #: 11. Bank Address: 14. Additional Info (if applicable): 15. Intermediary Bank (if applicable): 16. Intermediary Routing/ABA (if applicable): Member Authorization Member’s Signature: Date: