Northwest Resource Federal Credit Union - Direct Deposit Enrollment

		Direct Deposit Enrollment

Full Name
Social Security Number
Employer Name (Company)

I hereby authorize the above named company to initiate credit entries to my:
Checking	Savings
account indicated by the account number below and Northwest Resource Federal Credit Union to credit the same such account.

Northwest Resource Federal Credit Union TRANSIT ROUTING NUMBER: 323075563
Credit Union Account Number (6 digits)

This authorization is to remain in full force and effect until the Company named above has received written notification from me of its termination in such time and in such manner as to afford the Company and Northwest Resource FCU a reasonable opportunity to act on it.

Signature_________________________________________ Date_____________

Please print and sign this completed form and return to your employer's payroll department.

Northwest Resource FCU • PO Box 2788 • Portland, OR 97208