Debit/Credit Card Travel Alert

First Name

Middle Initial

Last Name

Suffix

Preferred Contact Number

Email

Member Number

Card Number

Areas of Travel

Dates of Travel From

Dates of Travel To

Please check the check box below:

I hereby authorize Evansville Firefighters Federal Credit Union to place a travel exception to approve transactions on my card for the above listed dates.

Signature:

Full Name

Date

I agree and understand that by checking the box below, I acknowledge and consent that the above typed name is my electronic signature. This electronically typed signature is the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

Yes, I agree and accept this information concerning my digital signature.

312 N 4th Ave

(812) 424-9396

Mon - Fri: 9:00 - 5:00

Debit/Credit Card Travel Alert

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