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Via transfer from another UMassFIVE account


If you would like to raise the rate on your certificate using Co-op Points, Please write either "2500 Co-op Points" for 1/4% or "5000 Co-op points" for 1/2% in the "Special Instructions" box at the bottom of this form. The rate will only be adjusted if the required points are available.

* Required field
Your Information  
Prefix
*First Name
Middle Name
*Last Name
Suffix
*Member Number
Not sure? Click here
*Social Security Number
*Mother's Maiden Name
*Daytime Phone
*Home Phone
Fax Number
*Email Address
 
Joint owner name:
Prefix
First Name
Middle Name
Last Name
Suffix
   
*Amount of term certificate ($500 min. to open)
Dividend Distribution Accrue in Account Transfer into Share
  Type: Not sure? Click here

*Transfer from member number:
Not sure? Click here

*Transfer from share type
Not sure? Click here

   
Choose new Term

Special Instructions
 
  If submitting electronically, no signature is required.

You can also print this form and send it to the Credit Union by any of the following methods:

Mail: PO Box 1060, Hadley, MA 01035
Fax: 413-253-0183
Drop it off at your local branch

If mailing, faxing or dropping off this form please sign and date the form below.
Signature
 __________________________
Date
 __________________________
If you have questions and would like to speak to someone, please call our Member Contact Center at 1-800-852-5886 during normal business hours.
 
 
 
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