Outgoing Wire Transfer Form


Metro Medical Credit Union Member Information

Domestic Wire Transfers - $25 Fee. Cut off time is 3:30 PM CST

Credit to receiving Financial Institution:

Institution Name:
ABA Number:
City, State, Zip:
Phone:

For further credit to:

Name of Person/Company Receiving:
Address (including city, state, zip):
Account Number:
Type of Account:
Special Instructions:

International Wire Transfers - $50 Fee. Cut off time is 2:00 PM CST

Foreign Bank Information:

Swift/BIC Code:
IBAN #:
Bank Name:
Bank Address (including city and country):
Special Instructions

Beneficiary Information:

Name:
Account Number:
Address:
Special Instructions:

Western Union - $25 Fee for Domestic. Cut off time is 4:30 PM CST

Recipient’s name must be exactly as it appears on their driver’s license along with the city and state where the Western Union will be received. Recipient must answer test question: “Who sent the money?” The answer is “CATALYST - Plano, Texas.”

Recipient Information

First Name:
Middle Name:
Last Name:
City:
State:

MEMBER SIGNATURE & DATE: