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Services Application

205 Collins Industrial Blvd., Athens, GA 30601
Phone: 706-613-1644  •  Fax: 706-613-1950
 
Please complete the form below, submit it, and you will receive a letter within three or four business days concerning your request. You may also call us at 706.613.1644 or visit our branch for more information or to complete your request immediately.
Account Request
I am interested in opening the following First Reliance FCU accounts:
Share Account Certificate of Deposit Savasaurus Club Account
Share-Draft Checking Account Christmas / Vacation Club Account CU Suceed Teen Club Account
I understand that completing and submitting this form will not open a First Reliance Federal Credit Union account, but indicates my desire to establish an account with First Reliance. Upon submission of this form, I understand that a First Reliance Federal Credit Union Member Service Representative will contact me regarding my request to open an account with the credit union.
Services Request

I am applying for the following services:

Online Banking E-Statements VISA Debit Card
By submitting this request, I
acknowledge that I have read
& agree to the terms of the
 By submitting this request, I
acknowledge that I will receive my
statements electronically as E-Statements.
  
Home Banking Disclosure E-Statement Disclosure  
Personal Information
Name:
 Account Number:
 Phone Number:
Address: 
 Apt/Suite:
 City, State, Zip:
Email:
 Social Security Number:
 Birth Date:
Employer: 
Additional Comments:

By submitting this application, I authorize First Reliance Federal Credit Union to obtain a credit bureau report, if necessary, to determine credit worthiness. In order to protect your identity, First Reliance FCU will send you the necessary forms to complete the service you requested.
Submit Application