American Pride Credit Union - Membership Application

American Pride CU

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How To Join:

Complete the following On-Line Membership Application and submit it.
Once recieved, we will mail you a completed Membership/Signature Card for your signature and your joint owners signature (if applicable).
The signed Membership/Signature Card must be returned to the credit union along with $51 ($50 initial deposit plus one-time $1 membership fee) for the process to be complete.

Membership Application
The Membership/Signature card you will sign includes the following statements and agreements: By signing below, I/we agree to the terms and conditions of the Membership and Account Agreement, Truth-In-Savings Rate and Fee Schedule, Funds Availability Policy Disclosure, if applicable, and to any amendment the credit union makes from time to time which are incorporated herein. I/We acknowledge receipt of a copy of the Agreement and Disclosures applicable to the accounts and services requested herein. If an access card or EFT services is requested and provided, I/We agree to the terms of and acknowledge receipt of the Electronic Funds Transfer Agreement. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. Under the penalties of perjury, I certify (1) that the number shown on this form is my correct taxpayer identification number and (2) that I am not subject to backup Withholding either because I have not been notified that I am subject to back up withholding as a result of a failure to report all interest or dividends, OR THE Internal Revenue Service has notified me that I am no longer subject to backup withholding, and (3) I am a U.S. person (including a U.S. resident alien).
Your Email Address:
First Name:
Middle Name or Initial:
Last Name:
Street Address:
City:
State & Zip:
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Business Phone #:
Membership Eligibility:
Name of Employer:
Relative of Current Member?:
Name of Member:
Relationship:
Complete the following fields only if there is to be a Joint Owner on your account: Joint Owners Name: Joint Owners Social Security #: Joint Owners Birthdate (MM/DD/YY):