Individual or Joint Request:
This is an individual credit request based on the credit worthiness
of the applicant listed below.
This is a joint credit request based on the credit worthiness of both
applicants listed below.
Name: First, Middle, Last
You agree that everything stated in this application
is correct to the best of your knowledge. The Credit Union is authorized
to investigate your creditworthiness, employment history, and to obtain
a credit report to answer questions about their credit experience with
you. You understand that any false or misleading statement in your application
may cause any loan or extension of credit to be in default. You authorize
us to accept your facsimile signatures on this application and agree
that your facsimile signature will have the same legal forceand effect
as your original signature. You assume any risk that may be associated
with permitting us to accept your facsimile signature.
You understand that the use of your card will constitute acknowledgement
or receipt and agreement to the terms of the credit card agreement and disclosures.
You grant us a security interest in all individual and joint share and/or deposit
accounts you have with us now and in the future to secure your credit card account.
When you are in default, you authorize us to apply the balance in these accounts to any amounts due.
By pressing the "Submit Application" button
below, you agree to the above statement. You understand that we may
require additional information to finalize our credit decision and your
signature on additional documents prior to disbursing any credit proceeds.