FEDERATED FAMILY CREDIT UNION
DIRECT DEPOSIT SIGN-UP FORM

Complete the form and submit to your Payroll Dept. to have all or part of your paycheck deposited automatically into your Federated Family Credit Union account each payday. 
  

Employee Information: Name of Payee: Address: City: State:   Zip:  SS#:
Depositor Acct. #:    Savings (four digits):       Checking (see bottom of check): 8 1 0 0 0
Type of Account:      Net Pay     Social Security     Civil Service Retirement	Type of Payment:       Other     Savings Allotment -- Amount $
Action:     Start      Cancel     Change
Amount:      Increase   Decrease              New Total $
Financial Institution Information: Federated Family Credit Union 626 E. Wisconsin Ave., Ste 102  Milwaukee, WI 53202-4608 Tel No. (414) 278-7220	Financial Institution Routing No.   2   7   5   0   7   9   8   8   2 Date:
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