Page 1 of 2 11/2020
955 West Imperial Hwy., Ste. 100
P.O. Box 2400
Brea, CA 92822-2400
800.921.1130 714.671.5705 (International) Fax: 714.671.5793 Email: memberservice@eccu.org
VISA BUSINESS
CREDIT CARD APPLICATION
1.
FIRST NAME MIDDLE INITIAL LAST NAME
$
TITLE
SOCIAL SECURITY NUMBER MOBILE PHONE NUMBER INDIVIDUAL CREDIT LIMIT
2.
FIRST NAME MIDDLE INITIAL LAST NAME
$
TITLE
SOCIAL SECURITY NUMBER MOBILE PHONE NUMBER INDIVIDUAL CREDIT LIMIT
3.
FIRST NAME MIDDLE INITIAL LAST NAME
$
TITLE
SOCIAL SECURITY NUMBER MOBILE PHONE NUMBER INDIVIDUAL CREDIT LIMIT
4.
FIRST NAME MIDDLE INITIAL LAST NAME
$
TITLE
SOCIAL SECURITY NUMBER MOBILE PHONE NUMBER INDIVIDUAL CREDIT LIMIT
5.
FIRST NAME MIDDLE INITIAL LAST NAME
$
TITLE
SOCIAL SECURITY NUMBER MOBILE PHONE NUMBER INDIVIDUAL CREDIT LIMIT
1. $ $
TYPE (REAL ESTATE, LINE OF CREDIT, CREDIT CARDS, ETC.) OUTSTANDING BALANCE MONTHLY PAYMENT
2. $ $
TYPE (REAL ESTATE, LINE OF CREDIT, CREDIT CARDS, ETC.) OUTSTANDING BALANCE MONTHLY PAYMENT
3. $ $
TYPE (REAL ESTATE, LINE OF CREDIT, CREDIT CARDS, ETC.) OUTSTANDING BALANCE MONTHLY PAYMENT
LEGAL NAME OF ORGANIZATION EMPLOYER IDENTIFICATION NUMBER (TAX I.D.)
PHONE NUMBER ALTERNATE PHONE NUMBER
ORGANIZATION NAME* TO APPEAR ON EACH CARD (LIMIT OF 19 CHARACTERS, INCLUDING SPACES)
*Please note: Your organization’s DBA may be used as long as it is already on le with ECCU.
1
ORGANIZATION INFORMATION
2
CARDHOLDER INFORMATION
3
OTHER DEBT
The name of the organization and the cardholder’s name, exactly as printed below, will appear on the card. Social Security Numbers are required for each cardholder for
identication purposes. An annual fee may apply for each card holder. Please refer Visa Business Card Agreement and Disclosure. Please use a separate sheet for additional
cardholders.
Please use separate sheet for any additional debt.
Please complete electronically, or if printed use black ink only.
Membership with ECCU is a requirement for all Visa Business Credit Card applicants.
$ $
TOTAL INDIVIDUAL CARDHOLDERS’ LIMITS REQUESTED MASTER LIMIT REQUESTED ($5,000 MINIMUM)
Amount must be greater than or equal to the Total Individual Cardholders’ Limits.
4
ORGANIZATION LIMITS REQUESTED
Page 2 of 2 11/2020
VISA BUSINESS
CREDIT CARD APPLICATION
1.
AUTHORIZED TO: INQUIRE ONLY CHANGE CARD LIMITS AND ADD/CLOSE CARDS
ORGANIZATION VISA CONTACT NAME (PLEASE PRINT)
PHONE NUMBER ALTERNATE PHONE NUMBER EMAIL ADDRESS
X
MOTHER’S MAIDEN NAME SOCIAL SECURITY NUMBER SIGNATURE OF ORGANIZATION CONTACT
2.
AUTHORIZED TO: INQUIRE ONLY CHANGE CARD LIMITS AND ADD/CLOSE CARDS
ORGANIZATION VISA CONTACT NAME (PLEASE PRINT)
PHONE NUMBER ALTERNATE PHONE NUMBER EMAIL ADDRESS
X
MOTHER’S MAIDEN NAME SOCIAL SECURITY NUMBER SIGNATURE OF ORGANIZATION CONTACT
3.
AUTHORIZED TO: INQUIRE ONLY CHANGE CARD LIMITS AND ADD/CLOSE CARDS
ORGANIZATION VISA CONTACT NAME (PLEASE PRINT)
PHONE NUMBER ALTERNATE PHONE NUMBER EMAIL ADDRESS
X
MOTHER’S MAIDEN NAME SOCIAL SECURITY NUMBER SIGNATURE OF ORGANIZATION CONTACT
5
VISA BUSINESS CONTACT INFORMATION
6
CORPORATE RESOLUTION AND SIGNATURES
The undersigned, Secretary or Assistant Secretary of the corporation named in the foregoing application, certies as follows: a) the corporation is duly organized and
operating according to the laws of the State of its principal business address, and b) at a duly held meeting of the governing body of the organization (or held by lawful
authorization in lieu of a meeting), the following actions were taken:
RESOLVED, the corporation’s membership in Evangelical Christian Credit Union (ECCU) has been duly authorized, and the corporation granted authority to establish accounts
with ECCU.
RESOLVED, these resolutions are to continue in effect until ECCU has been advised in writing of any change or revocation which will be effective only for those transactions
occurring after ECCU has received such written notice. I certify that the foregoing information is true and correct.
RESOLVED, the individuals whose names and signatures appear in this application are authorized to: a) designate Individual Cardholders named in Section 2 to borrow
money from ECCU in the name of the corporation, up to the “Master Limit Requested” in Section 3 (two signatures are required below), b) make additions/deletions to the list
of Individual Cardholders and changes to the individual credit limits (one signature is required), c) designate agents as identied in section 4 as organization Visa contacts
for inquiry and/or to make additions /deletions to individual cardholders and changes to individual credit limits, and d) conduct all other business with ECCU as reasonably
required to maintain this Visa Business account.
The authorized corporate ofcers, whose signatures appear below, certify that all the information furnished is complete and correct. We further understand that additional
information may be required. We hereby apply for a Visa Business account on the basis of the preceding information. You may verify any of this information. We understand
that membership must be established to be eligible for any service including a Visa Business account at ECCU. We understand that from time to time you may receive
information from others and you will answer questions from others seeking the credit history of our account. The original or a copy of this application will be retained by ECCU,
even if the loan or service is not granted. We further understand that the annual fees will be billed on the VISA Business statement for each card, as applicable. We promise
to repay to ECCU all sums advanced on the Visa card(s), according to the terms and conditions we will receive when our application is approved. Our use of the card(s) will
certify our agreement to those terms. WE AGREE TO CHANGES IN THE TERMS AND CONDITIONS IF WE CONTINUE TO USE THE ACCOUNT 15 DAYS AFTER YOU
GIVE NOTICE OF THE CHANGE(S).
1.
PRINTED NAME OF CORPORATE OFFICER TITLE
X
SIGNATURE OF CORPORATE OFFICER DATE
2.
PRINTED NAME OF CORPORATE OFFICER TITLE
X
SIGNATURE OF CORPORATE OFFICER DATE
CERTIFIED TO AND ATTESTED BY:
3.
PRINTED NAME OF CORPORATE SECRETARY OR ASSISTANT SECRETARY
X
AUTHORIZED SIGNATURE OF CORPORATE SECRETARY OR ASSISTANT SECRETARY DATE