<%@ Page Language="VB" ContentType="text/html" ResponseEncoding="iso-8859-1" %> VSECU Request to Change/Cancel Automatic Withdrawals and Deposits

Request to Change/Cancel Automatic Withdrawals and Deposits

 VSECU
   
Mail this form to: From:
   
Re:  
 
 
   
Account #:  
 
   
To Whom it May Concern:
Please CHANGE my automatic agreement as follows:

Please allow this to serve as my/our notification to you of a change in our financial institution. You are currently my/our account at account # . Effective please discontinue using this account and begin using my account at Vermont State Employees Credit Union. My account number is . The VSECU ABA-Routing number is 211691185. Please process as an ACH credit or credit. Do not use hyphens or decimal points with the account number. If you have any questions, please contact the Vermont State Employees Credit Union at 800/802-371-5162.

 
Or,  
 
Please CANCEL my automatic agreement per the instructions below:
I/we are submitting this written notification of our intent to discontinue the automatic agreement from which you are  my/our account at account # . Effective please discontinue all transactions related to this account. This account is being closed.
   
Thank you in advance for your prompt attention to this matter.
   
   
   
   
_______________________________________ _______________________________________
Primary Account Holder Signature/Date Secondary Account Holder Signature/Date
   
Phone #(s): Phone #(s):
Day: Day:
Evening: Evening:
Mobile: Mobile:
   
 
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