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Line of Credit Advance
One Baylor Plaza, Houston, TX 77030
Phone: (713) 798-4820 • Fax: (713) 798-4200

You must currently be a BCM FCU member to complete this form!
The information requested below is for the primary member on the account.
All Fields Are Required
Member Account Number:
Email Address:
First Name:
Middle Name or Initial:
Last Name:
Street Address:
City:
State:
  Zip:
Cell Phone #:
Home Phone #:
Business Phone / Ext #:
Amount of Advance:

  I hereby request a loan advance in the amount stated above, and agree to pay the amount requested in accordance with the terms of my Line of Credit Loanliner open end loan agreement. Please prepare my advance as indicated below.
  Deposit to Share Draft Account
Deposit to Share Account
Issue Check
Issue Cash