Sharefax Credit Union, Inc.

Attn: Wire Transfer Form

1147 Old State Route 74 

Batavia, OH 45103

(513) 753-2440 

Fax (513) 753-2448

Wire Transfer Form

NOTE:  All Information is Required

1)

Our Member's Name

Our Member's Address

City  

ST , Zip

Account Number

Phone Number

S.S.#

2) Where money is to be Wired

Date

Bank Name

Bank Address

City

State Zip

Bank ABA/Routing #

Bank Telephone #

3)  Name & Account # of person to be Credited

Name of Receiver

Acct # at Bank

4)  Amount to be Wired $

(our charge to member is $15.00; excluding foreign wires)

Member Signature 

Teller Signature

Time

Note: Accounting Dept must have all information by 2pm to assure posting on the same day.