Bethlehem Teachers Federal Credit Union Logo Wire Transfer Request Form
To arrange a wire transfer, please print out, then bring or send this completed and signed form to:
Bethlehem Teachers Federal Credit Union
2317 Easton Ave.
Bethlehem, PA 18017

Please note: Since this form requires a signature, you cannot submit it over the Internet. You must present a printed and signed form to the Credit Union.

Name of Bethlehem Teachers Federal Credit Union (BFTCU) Member requesting Wire Transfer:
Member's Address:
Member's City/State/Zip Code:
Credit Union Account # you are transferring FROM:
Amount to be transferred:
Name of Bank to be Transferred to:
Address of Bank to be Transferred to:
ABA Routing Number of Bank to be Transferred to:
Name of Receiver:
Address of Receiver:
City/State/Zip of Receiver:
Account # of Receiver:
Reference:
I hereby acknowledge responsibility for the $17.00 processing charges for wires within the United States or $30.00 processing charge for International Wires.
Signature of Member Requesting Wire Transfer:
Date:

FOR OFFICE USE ONLY
Initiated By: _______________________ Date: _______________________
Verification #: _______________________ Approved by: _______________________
Wire recipient checked on OFAC list?: _______________________

wiretransfer.html - updated 2/24/2010