Wire Transfer Request Information

Domestic Wire Transfer Request Information

Any field with * is required

*Sender's Full Name:
*Sender's Account Number:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip / Postal Code:
*Sender's Phone Number:
*Sender's Email Address:

Transfer Amount and Date

*Date Transfer is to be Sent:	(MM/DD/YYYY)
*Transfer Amount in Dollars:
Reference/Further instructions:

First Receiving Bank Information

Please check with the Target Bank for their wire instructions. If the Target Bank does not allow direct wire transfer, you may need to provide information for the intermediary bank.

Financial Institution Name:
Identification Number Type:
Financial Identification Number:

Target Bank Information

*Financial Institution Name:
*Identification Number Type:
*Financial Identification Number:

Beneficiary Information

*Beneficiary Name:
*Beneficiary Account Number:
*Address Line 1:
Address Line 2:
*City:
*State or Province:
*Zip/Postal Code:

This information represents a request to initiate a wire transfer and is not an actual wire transfer order. A representative from Zeal Credit Union will contact you to verify information regarding this request before it will be sent. If needed, please use the Reference/Further Instructions area to provide your daytime phone number.

The amount of the wire transfer fee can be found in the Service Fee Disclosure or by calling a Zeal Credit Union Member Services Representative at 800-321-8570, ext. 7400.

Clicking Submit will authorize us to charge this account $15 for the fees associated with this wire.