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Christian Community Credit Union

Instructions:
Complete, print and mail this form to:
Christian Community Credit Union
101 S. Barranca Ave.
PO Box 3012
Covina, CA 91722-9012
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Please list all account numbers you wish to have CALL-24/Online Banking access to in the space provided below.
Select one:
Account number(s) to transfer from: Account number(s) to transfer to:
   
All account holders for each account(s) listed above must sign below. Your signature authorizes CCCU to give you access through CALL-24/Online Banking to transfer to a related account and obtain a balance on a related account. If at any time you wish to cancel this request, we must receive it in writing.
Account holder(s) authorization to withdraw (transfer from) funds: Account holder(s) authorization to receive (transfer to) funds:
_________________________________________ _________________________________________
Signature                                                         Date Signature                                                 Date
_________________________________________ _________________________________________
Signature                                                         Date Signature                                                 Date

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