4415 5th Ave Ste 100 Webster Hall, Pittsburgh, PA 15213
Phone: (412) 621-6800
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Fax: (412) 681-7421
Payment Form
Disclosure
$5.00 Fee for each payment request submitted
$1,500 max payment amount per day (not including the fee amount)
Payments can only be made via debit cards; credit cards are not accepted.
Payments are not processed immediately
Payments will be processed at the start of the next business day if the request is submitted during non-business hours
Payment requests must be submitted by 3 p.m. EST in order to be processed the same day
If we need additional information and aren’t able to contact you, your payment may not be processed
GPFCU is not responsible for fees that may be incurred from other financial institutions
If submitting one payment request for multiple loans/visa payments, please specify the breakdown in the comments section.
Member Information
First Name
M.I.
Last Name
Account Number
Email Address
Phone Number
Card Information
Cardholder Name
Debit Card Number
Expiration Date
3-Digit Security Code:
Cardholder Street Address:
Cardholder Apartment/Suite:
Cardholder City:
Cardholder State:
Cardholder Zip Code:
Payment Details
Payment For:
Loan
Visa Credit Card
Payment Amount
Fee Amount
Total Amount
Comments:
I understand that by submitting this form GPFCU will charge my card for the amount I specify plus the $5.00 convenience fee.
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