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Membership Application

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Membership Application

Effective October 1, 2003

In accordance with section 326 of the USA Patriot Act, Financial Partners Federal Credit Union is required by Federal law to obtain, verify, and record information that identifies each person who opens an account or is being added as a signatory to a new or existing account. In some cases, identification will be requested for those banking with us prior to the effective date of the customer identification requirements because original documentation was not obtained with the opening of the accounts.

What this means for you:

When you open an account or are going to be added as a signatory to an account, we will ask for you name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

* Required Fields
General Information
 
All applicants must be 18 or over to apply for membership.
 
Please provide all the requested information. When you have completed the form, press the Submit button to send your application. If necessary, we will contact you for additional information.
 
If you wish to apply for a loan as well, please note this in the Special Instructions/Comments field at the end of the application and the Credit Union will contact you. There is no need for you to fill out a seperate loan application as long as you include this information.
The account is not open or approved until you come in to the credit union to complete the process. You will need to bring in a photo ID, piece of mail, and $5 deposit.
Are you 18 or older?

Co-Applicants

Joint Applicants are required to come in to the credit union. You will need to bring a photo ID and a signaure is required on the signature card.

Will there be a co-applicant on this application?
Membership Eligibility:

Primary Applicant

Social Security Number:
 -   - 
Date of Birfth:
 /   / 
Backup Withholding Tax:
Citizenship:

Home Address


Residence Type:

Mailing Address (if different)


Present Employer


Co-Applicant (if applicable)

Social Security Number:
 -   - 
Date of Birth:
 /   / 
Home Address
 

Residence Type:

Mailing Address (if different)


Present Employer


Co-Applicant 2 (if applicable)

Social Security Number:
 -   - 
Date of Birth:
 /   / 

Home Address


Residence Type:

Mailing Address (if different)


Present Employer


Nearest Relative Not Living With You


Additional Information

How would you like to be contacted?
The Internal Revenue Service does not require your consent to any provision of this contract other than the certifications required to avoid backup withholding.
 If you wish to apply for a loan as well, please note this in the Special Instructions/Comments field and the Credit Union will contact you. There is no need for you to fill out a seperate loan application as long as you include this information.
Security Code: