40 W Century Road
Paramus, NJ 07652
359 Main Street
Hackensack, NJ 07601
66 Hamilton St
Paterson, NJ 07505
Main #: (888) 55-GAFCU
Fax: (201) 996-0738
24-hour Touch Tone Banking: (866) GET-CU24
On the web at www.greateralliance.org
The Community Credit Union of Bergen & Passaic Counties
DIRECT DEPOSIT AUTHORIZATION FORM
Directions: Fill out this form electronically, print it and submit it to your payroll department.
Date
To Whom It May Concern:
I authorize my employer,
deposits to my Greater Alliance account(s) each payday using the information below:
Name of person entitled to payment (Last, First, MI)
, to make electronic
Social Security Number:
Address:
City, State, Zip:
Home Telephone Number:
Work Telephone Number:
Name and Address of Financial Institution:
Routing Number:
Greater Alliance Federal Credit Union
40 W Century Road
Paramus, NJ 07652
2212-7587-6
Member/Account Number:
Savings:
Checking:
C
C
C
C
Total Check
Partial Check in the amount of $:
If you have any questions, you may contact me at
Thank you.
Signature
Total Check
Partial Check in the amount of $:
.