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Membership Application

MEMBERSHIP/ACCOUNT AGREEMENT

You hereby apply for membership in the credit union and agree to conform to the bylaws and any amendments of the credit union, the terms and conditions of the share account and to pay the minimum deposit amount. You also agree to pay any charges or fees which may be required or assessed under such bylaws. Any account opened in more than one name shall be a joint account with rights of survivorship. If you have established a joint account, both owners agree to the terms and conditions of the share account. If you return this application electronically, we may ask you to sign a hardcopy of this application at a later date. 

Security is extremely important to us and to you, therefore, we are not asking you for social security number or any additional confidential information.  You will need to supply your social security number and some other personal information when we assign your account number.

PRIMARY ACCOUNT OWNER

First Name:

Initial:

Last Name:

Address:

Email Address:

Eligibility for Membership:

JOINT ACCOUNT OWNER 1

First Name/Initial:

Last Name:

JOINT ACCOUNT OWNER 2

First Name/Initial:

Last Name:

ADDITIONAL SERVICES Check if desired

I am interested in the following services and request the credit union contact me with more information about how to apply.

Share Draft/Checking Account
ATM Card
Credit Card

                                                        AST332 6849LL
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© Copyright 2003 - Dairyland Power Credit Union - All Rights Reserved.
This page last updated on: Wednesday, June 18, 2008