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Questions?  Please contact Merry Pateuk at 800-932-7728

Fund Raising Initiative for Children’s Miracle Network
Interchange Donation Authorization Form

 

 

YES, our Credit Union wants to participate in the national credit union initiative to raise funds for the hospitals in the Children’s Miracle Network. We agree to have PSCU Financial Services act as an agent on our behalf and donate to the Children's Miracle Network 1% of our credit union’s credit and/or debit card interchange revenue collected for the months designated below.  (Your monthly interchange revenue appears on the FM-001 report.)

Donation Months (check all that apply)

March 2010 April 2010

, our credit union will be unable to participate.