Balance Transfer Authorization
Please complete the form below. You may enter information here on this screen or print it and complete it by hand. When finished, print this page and be sure to provide your signature at the bottom. Mail this form to ALEC, 401 N Riverside Dr. Suite 1-A, Gurnee, IL 60031-5915.
To ensure the accuracy of your balance transfer, please include a copy of your most recent statement for each account listed below. For a quicker response, fax your application to (847) 599-1980.
1) Credit Card Company
Address
City/ST/Zip
Account Number
Balance to Transfer (for special Rate)
2) Credit Card Company
Address
City/ST/Zip
Account Number
Balance to Transfer
Yes! I want to transfer the balance of my other credit cards to my ALEC Visa. I have enclosed a statement for each account listed above. I understand that ALEC is not responsible for payments to these accounts being late or lost in the mail. These payoffs are treated as a cash advance according to the term’s set forth in the Visa disclosure. If my consolidated balance above is greater than my ALEC Visa credit limit, please pay off my accounts in the order listed above and return any accounts that cannot be paid in full.
Member Signature:_______________________________________________________
