UMass Five College Federal Credit Union, Amherst Mass

If you want to renew with no changes, it will happen automatically upon maturity.

If you would like to raise the rate on your certificate using Co-op Points, Please write either "2500 Co-op Points" for 1/4% or "5000 Co-op points" for 1/2% in the "Special Instructions" box at the bottom of this form. The rate will only be adjusted if the required points are available.

* Required field
Your Information
Prefix
*First Name
Middle Name
*Last Name
Suffix
*Member Number Not sure? Click here
*Social Security Number
*Mother's Maiden Name
*Daytime Phone
*Home Phone
Fax Number
*Email Address

Joint Owner Name:
Prefix
First Name
Middle Name
Last Name
Suffix

Certificate Number: Not sure? Click here

I wish to renew my Term Share Certificate with no changes (You will receive the interest rate in effect on the date of maturity)
I wish to make the following changes to my Term Share Certificate:
New Term:
New Amount:	Matured Value Matured Value + Add: $ Exactly: $
Dividend Distribution	Accrue in Account Transfer into Share
	Type: Not sure? Click here

If new amount is higher withdraw additional funds from:
Member Number Not sure? Click here
Share Type: Not sure? Click here

If new amount is lower:
Deposit additional funds to:
Member Number Not sure? Click here
Share Type Not sure? Click here
Send a check to me for the difference

Special Instructions:


	If submitting electronically, no signature is required.
You can also print this form and send it to the Credit Union by any of the following methods: Mail: PO Box 1060, Hadley, MA 01035 Fax: 413-253-0183 Drop it off at your local branch If mailing, faxing or dropping off this form please sign and date the form below.
Signature	__________________________
Date	__________________________
If you have questions and would like to speak to someone, please call our Member Contact Center at 1-800-852-5886 during normal business hours.



	eServices \| Loans & Credit Cards \| Savings & Checking \| Investment Services Other Services \| Information Desk \|Site Map \| Privacy Policy

	©2003 UMassFive College Federal Credit Union. All Rights Reserved. Site Developed by Tortus Technologies.