SAKS Fifth Avenue Enterprises Federal Credit Union



Company		Social Security #
Last Name		First Name
Work Phone (xxx-xxx-xxxx)		Middle Initial
Your E-mail

This form overrides any information previously set up.

I hereby authorize (company you're employed by) to deposit my net pay directly into my Saks Fifth Avenue Enterprises' FCU account listed below, and to initiate (if necessary) debit entries and adjustments for any credit entries is error to my account.

I agree that this authorization will remain in effect until I provide written notification to my employer terminating or changing this service.

Please deposit my net check into the Saks Fifth Avenue Employees' FCUU Account designated below: (Check one account type only)

Checking (A copy of a VOID check must be submitted)
Share Savings Account