Credit Union of America - Balance Transfer Request

Take control of your finances when you transfer balances to a CUA Visa^® credit card.

Before requesting a balance transfer, please ensure you have an existing CUA credit card with enough available credit to accommodate these transfers.

* - indicates required fields

Personal Information

Last Name

First Name

Social Security Number

Mother's Maiden Name

Member Number

Last four numbers on your CUA Visa Card

Address

City

State

Zip Code

Home Phone

Work Phone

CUA is hereby authorized to pay off the balance(s) due on the following charge account(s) by issuing the check(s) or electronic payment as indicated and adding the balance to my Credit Union of America VISA Card account (may not exceed CUA VISA Card credit limit). Checks will be issued directly to the creditor(s). The credit union is not responsible for payments which are late or lost in the mail. Rates and Terms for Balance Transfers are located here.

Credit Card 1

Name on Credit Card

Creditor/Company Name

Card Number

Amount to Pay (Balance)

Company Payment Address (Found on Statement)

City

State

Zip Code

Credit Card 2

Name on Credit Card

Creditor/Company Name

Card Number

Amount to Pay (Balance)

Company Payment Address (Found on Statement)

City

State

Zip Code

Credit Card 3

Name on Credit Card

Creditor/Company Name

Card Number

Amount to Pay (Balance)

Company Payment Address (Found on Statement)

City

State

Zip Code

Credit Card 4

Name on Credit Card

Creditor/Company Name

Card Number

Amount to Pay (Balance)

Company Payment Address (Found on Statement)

City

State

Zip Code

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