24085-10/19
1440 Rosecrans Avenue, Manhattan Beach, CA 90266
800.854.9846 | kinecta.org
Request To Cancel
Credit Card Account
Title First Name: Last Name
Member No Credit Card No
Address City St Zip
Home Phone Work Phone
Mobile Phone Email
Please CLOSE my Kinecta Federal Credit Union credit card account and include a notation in the report to the credit
bureaus that the account was “closed by request of cardholder.” I have advised any merchants to cancel any automatic
billing or recurring charges that are attached to this card. (Check Here)
To assist us please tell us why you have cancelled your credit card account:
Dissatisfied Do Not Need Other (Please explain) ________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
By submitting this request, I authorize and acknowledge the cancellation of my Kinecta Federal Credit Union credit
card account. The cancellation of my Kinecta Federal Credit Union credit card account will not affect my ability to
access my Kinecta Federal Credit Union account(s). I understand that any applicable fees for the current month will be
assessed to my account next month. I agree to continue to pay the outstanding balance, if any, according to the credit
card agreement. Once this request is processed, the Kinecta Federal Credit Union credit card account referenced
above will be closed.
Signature Date
Please return this form:
By Mail: Kinecta Federal Credit Union, PO Box 217 Manhattan Beach, CA 90267-9980
By Fax: 310.727.8208