Outgoing Wire Transfer

"*" indicates required fields

Step 1 of 3

Sender

Address*
Refer to Fee Schedule. International Wire Transfer Taxes and Fees may apply*
*Recipient may receive less due to fees charged by the recipient’s bank and foreign taxes.

Receiving Bank

Recipient/Beneficiary

Address*

I authorize POLAM FCU to debit my account for the amount of the wire transfer and any applicable fees. I understand that once this request has been processed, the funds will have been permanently transferred to the above beneficiary and that a stop payment order will be impossible. This payment implements an agreement between the undersigned and the beneficiary. The credit union is not a part of this agreement and has no obligations other than to wire the funds in accordance with this request. I understand the credit union handles wire transfer requests expeditiously, but that the credit union cannot guarantee that this request will be completed in any specific period. Digital Signatures will not be accepted. Request received after 12 pm will be processed the next business day.

MM slash DD slash YYYY
Time*
:

Please Read and sign the Wire Authorization Agreement on Page 2.