Balance Transfer

Transfer My Balance

Name

Address

Phone

Account Number

Credit Card Number

Balance Transfer Information

Credit Card One

Credit Card Name

Credit Card Number

Amount to be Transferred

USD

Payment Address

Credit Card Two

Credit Card Name

Credit Card Number

Amount to be Transferred

USD

Payment Address

Credit Card Three

Credit Card Name

Credit Card Number

Amount to be Transferred

USD

Payment Address

I agree to all of the terms set forth in the terms and conditions in my credit card agreement disclosure. The balance transfer process will take approximatelytwo weeks. You need to continue to make your normal payments on all of your credit card accounts until the transferred amount appears as a payment on those credit card statements. CityMark is not responsible for any additional charges or fees assessed by your other credit cardaccount(s), or for payments that are late or lost in the mail. CityMark is not able to close your other credit card accounts; you must contact those issuers directly. You may transfer balances from other non-CityMark credit cards up to your established credit limit.

Signature