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Download Visa Credit Card Auto Pay Application
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VISA CREDIT CARD AUTOPAY APPLICATION Instructions: 1. Fill out the VISA Credit Card Autopay Application. 2. Applications must be received 7 business days before the bill is due. 3. Send completed forms to Card Services Help Desk. Terms and Conditions: A: Payment can be made from any checking or savings account from most financial institutions in the United States. B: If there are insufficient funds in your account on the specified payment dates, Arizona State Credit Union reserves the right to take payment in full when funds become available. C: This authority will remain in effect until you notify us in writing to cancel it, allowing reasonable opportunity to act, or if Arizona State Credit Union cancels pre-authorization. D: Payment terms are according to the following: Statement New Balance less any credits posted up to 2 days prior to payment date. Statement Minimum Payment or total amount due 2 days prior to payment date, whichever is less. If statement Minimum payment is greater than fixed amount, payment will be the minimum payment amount. If statement New Balance is less than fixed amount, payment will be amount of New Balance. E: If you choose to pay less than your statement balance, finance will be assessed according to your Visa Credit Card Agreement. Application Information: Name Account # Mailing Address City State Email Address ZIP Code Day Phone Number 16 digit VISA Credit Card Number Auto Pay Account Section: Check One Pay from my Checking Account Routing/Transit Pay from my Savings Account Account # Auto Pay Amount Selection: Check One Please pay the entire New Balance shown on my monthly statement. Please pay the Minimum Payment Due Shown on my Monthly Statement. Please pay the following fixed dollar amount every month $ Signature Rev. 7/2014 Date Help Desk Card Services