Travel Notification Form Open Account If you plan on traveling, internationally or domestically, and will be using your credit and/or debit card, please call (415) 775-5377, option 4 or fill out the following form to notify the credit union of your travel destination and dates. We will immediately notify you of any suspicious activity on your credit and/or debit card. Enter travel destination and dates: Travel Information City * State (if within the US) Country * Date of Arrival * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Date of Departure * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Additional Cities City State (if within the US) country Date of Arrival Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Date of Departure Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year City State (if within the US) Country Date of Arrival Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Date of Departure Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year City State (if within the US) Country Date of Arrival Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Date of Departure Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Cardholder Information First Name * Middle (initial) Last Name * Member Number Debit Card Last 4 Digits Credit Card Last 4 Digits Second Cardholder (if applicable) First Name Middle (initial) Last Name Debit Card Last 4 Digits Credit Card Last 4 Digits In case we need to notify you, please provide us with your emergency contact information while traveling (if available): Email Address Mobile Phone For lost or stolen credit/debit card, or if you have additional questions, please call (415) 775-5377. Leave this field blank
