1334 Current Members

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EFTS Forms

Application form
Fill out the online application to become a member of EFTS.

Memorandum of Agreement
(a professionally binding document)
Word Document
●  English
●  French
●  English
●  French

Required when sending payments in the form of a check.
Download, fill in as indicated and submit to your accounting department.
●  PDF*

Credit Card Transaction form
Download, fill in as indicated and submit to EFTS via e-mail attachment to efts@uchc.edu OR fax to 860-679-1305.
A Completed form must submitted EACH TIME a deposit request is made. FORMS are NOT kept on file.
●  PDF*

*PDF versions require the free Adobe® Acrobat Reader software for viewing.
NOTE: You can fill out the PDF forms online and then print out for submission.

EFTS Lyman Maynard Stowe Library MC 4003 • University of Connecticut Health Center • 263 Farmington Avenue, Farmington CT 06034-4003
Email: efts@uchc.edu • Phone: (860) 679-4500 • Toll-Free: (866) 561-5045 • Facsimile: (860) 679-1305