DARE to COMPARE
Automatic Draft
I want more for my money? I'm switching to PFCU! It's easy!
Name _______________________________________
Address_______________________________________
City/State________________________________________
Zip ________ Phone_______________
E-mail ______________________________________
Please change the following electronic payment:
__________________________________________________
(Company to Receive Payment)
__________________________________________________
(Company Account Number)
To: Patriot Federal Credit Union
P.O. Box 778
Chambersburg, PA 17201
Telephone: 717-263-4444
PFCU Account No.___________________
Checking Savings
PFCU Routing No.: 231379979
Previous Financial Institution Account No.
____________________________
I authorize this change in Electronic Payment.
Effective Date _________________________________
Signature______________________________________
Joint Account Signature____________________________
Todays Date __________________________________
Please send this to the company that receives your Electronic Payment.
If you need additional copies for multiple drafts, please let us know.