Automated withdrawal/payment switch form
- Print and send to any company that makes an automated withdrawal from or payment to your account.

To: From: Account #: Subject: Request to change automated withdrawal/payment Date:

To whom it may concern:

I have opened a new checking account with Arsenal Credit Union. Using this form as my authorization, please change the automated withdrawals/payments for my account number using the account information listed below, effective .

Arsenal Credit Union
3780 Vogel Road
Arnold, MO 63010
314.962.6363

Routing number: 281081233
Account Number:

My automated withdrawal/payment currently comes from/goes to: , account number .

If additional information or a different form is needed, please call me at .



Signature: __________________________________ Date: ______________