Matured Share Certificate Authorization

* Indicates Required

• Member Name*

  Email*

  Phone *

  Member #*

  Certificate # (2 Digits Only)*

  –

  Certificate Type

  I give my consent to have Actors Federal Credit Union conduct the following transaction(s) with my matured Share Certificate:*

  Transfer amount from my matured Share Certificate into my Share Savings.

  Amount*

  Transfer the FULL balance of my matured Share Certificate into my Share Account. Transfer amount from my matured Share Certificate into my Draft Checking

  Amount*

  Transfer the FULL balance of my matured Share Certificate into my Draft Checking. Transfer amount of my Share Certificate into a NEW Share Certificate

  Amount*

  Term*

   Months

  Please review current offerings.

  Transfer the FULL balance of my Share Certificate into a NEW Share Certificate

  Term*

   Months

  Please review current offerings.

  Selecting an option is required

  I agree to receive my receipt(s) electronically (if enrolled in eDocuments) or by mail (if not enrolled in eDocuments):*

  Yes, please proceed with the above instructions

  I understand that I will be charged a penalty amount for early withdrawal if my certificate renewal grace period has expired*

  
  

• Signature

  Member Name (type name)*

  Date*

  Member Signature*

  Clear Signature