 |
VISA
CHECK CARD APPLICATION
|
| c Please
send me a VISA Check Card today! I (We) understand that by signing this
application, I (We) agree to the terms in the retail installment agreement. |
| c The
VISA Check Card sounds great but I need to open a Share/Draft Checking Account
first. Please send me an application. |
|
Name ____________________________________________________________ |
|
Address __________________________________________________________ |
|
City _____________________________________________________________ |
| State
__________________________________ Zip ______________________ |
|
Phone Number ( ) ________________________________
|
|
Share Draft Account # (if applicable) __________________________________
** Please note
that a PIN number will be mailed to you 3-5 days after you receive your card in
which you will be able to change in one of the four ATM machines owned by Choice
One Community Federal Credit Union. **
|
|
Checking
_________
Both Checking & Savings_________
|
What
account do you want to access?
|
| Social
Security Number _____________________________________________ |
| Applicant
Driver's License # _________________________________________ |
|
Have
you lived in PA for the last 5 years? c
yes c
no
If
not, where? ____________________________________________________
|
By
signing this application you are authorizing Choice One to sign you up for
Overdraft Protection.
Signature
________________________________________________________ |
| Date
____________________________________________________________ |
| Co-Applicant
Driver's License # ______________________________________ |
| Co-Applicant
Signature _____________________________________________ |
|
Date ____________________________________________________________ |
|
Drop
off or mail your completed application today.
|