Visa Transfer Authorization Form
Fax: (225) 927-1960 •
Mail: PO Box 64630, Baton Rouge LA 70896
Member name: _______________________________
Social Security No: _____________
Account(s) to transfer:
Card Name: ______________________________
Account No: ______________________
Amount: $__________
Payment Address: _______________________________________
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Card Name: ______________________________
Account No: ______________________
Amount: $__________
Payment Address: _______________________________________
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Card Name: ______________________________
Account No: ______________________
Amount: $__________
Payment Address: _______________________________________
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By signing below, I authorize Eagle Federal to issue a cash advance to my VISA for the purpose of transferring the above balances. I understand that this may or may not pay the balance(s) in full and that the cash advance(s) will be issued up to my previously established credit limit.
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Signature Date
| Annual Percentage Rate for Purchases | 9.5% APR Visa Max Account 14.5% APR Visa Classic Account |
Annual Percentage Rate for Cash Advances and Balance Transfers |
9.5% APR Visa Max Account 14.5% APR Visa Classic Account |
| Other APRs | Penalty APR: 18.0%* |
| Grace Period for Repayment of Balance for Purchases | 25 days |
| Method of Computing the Balance for Purchases | Average Daily Balance (Including New Purchase) |
| Annual Fee | None |
| Late Payment Fee $20 • Over-the-Credit-Limit Fee $10, if balance exceeds limit by 4%. | |
*If your account is 60 days or more past due at any time, an adjusted APR takes effect on all balances. The information about the costs of the card described in this application is accurate as of 04/07. This information may have changed after that date. To find out what may have changed, call or write us at the number or location listed above. |
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