DIRECT DEPOSIT FORM
ACCOUNT NUMBER_________________________________________ DATE___________________________
NAME_____________________________________________________ SSN___________________________
Gulf Coast Federal Credit Union ROUTING #
TO EMPLOYER:_____________________________________________
PAYROLL NUMBER:   
I hereby authorize you to deduct the following from my pay until further notice, and transmit to the above named Credit Union.
____MONTHLY ____SEMIMONTHLY ____BIWEEKLY ____WEEKLY
____NEW ____CHANGE ____STOP ____REALLOCATE
TOTAL DEDUCTION
EFFECTIVE DATE
CREDIT UNION EMPLOYEE
EMPLOYEE SIGNATURE______________________________________


You Must Print, Sign, and Return to Credit Union

Gulf Coast FCU
P.O. Box 8849
Corpus Christi, TX
78468-8849
Fax: 361.980.9665