Member Information Member Name Phone Number Email I/We hereby authorize Signature Federal Credit Union to electronically withdraw funds from my/our account at the Credit Union and deposit to the account indicated below. Financial Institution Information Financial Institution Name Phone Number City State Zip Effective Date (mm/dd/yyyy) ABA/Routing Number Account Number Account Type SavingsChecking Withdrawal Information - NOTE: The maximum ACH amount is $10,000 Withdrawal Amount Signature FCU Account # Share ID Start date for recurring transfers (mm/dd/yyyy) Frequency of Recurring Transfers Monthly Semi-Monthly (24 transfers per year) Bi-Weekly (26 transfers per year) Weekly (52 transfers per year) One Time ($1.95 fee on One-Time ACH) I must change the distribution amount by notifying a Signature Federal Credit Union representative at least two (2) business days prior to the effective date of a recurring transaction. I understand the funds will come out of my account at Signature Federal Credit Union within the next 24 hours and I should see the funds in my other financial institution account in 24 to 48 hours, unless it is a Friday or a day before a banking holiday. I understand that this authorization will remain in full force and effect until I notify Signature Federal Credit Union that I wish to revoke it. I understand that Signature Federal Credit Union requires at least two (2) business days prior notice in order to cancel this authorization. I agree that ACH transactions I authorize comply with all applicable laws. If you have any questions regarding your ACH transfer, you can call us at (800) 336.0284 ext. 684 during normal business hours Signature Date (mm/dd/yyyy) Prove you're not a robot.