QuickTeller: On-Line Bill Pay (Checking Account required)
 
* required fields
 
Member Account Number *  
 
First Name *  
 
Middle Initial  
 
Last Name *  
 
Address *  
 
Additional Address  
 
City *  
 
State *  
 
Zip *  
 
Email Address  
 
Home Phone *  
 
Work Phone  
 
 
 I no longer wish to have access to my account through QuickTeller On-Line bill payment.
 
 
Bill Payment Fee
 
First Month – no cost for QuickTeller On-Line bill payment. After First Month... $3.95 per month charge for unlimited usage. The fee will be deducted from checking account the last day of the month.
 
 
Applicant Signature
 
By signing below, I agree to accept responsibility for any and all transactions that I or any joint owner(s) initiate with regard to QuickTeller On-Line bill payment and agree to the terms and condition of QuickTeller On-Line Bill Pay services in the Important Disclosures booklet. To view and print for your records, click here. The booklet is also available in print form at the Credit Union office.

I have read and accept all the terms and conditions of the QuickTeller On-Line Bill Pay Services Agreement and Disclosures. *
 
Signature of Primary Member (Seal) *   Date
 
 
 
 
Baltimore County Employees Federal Credit Union
23 W. Susquehanna Avenue • Towson, MD 21204 • 410-828-4730 • 1-800-234-4730 • FAX 410-828-0325
 
For Office Use Only:
 
Verified By: Date: Processed By: Date: