MEMBERSHIP APPLICATION &
MASTER ACCOUNT AGREEMENT
I hereby make application for membership in Educational Federal Credit Union (Credit Union) and agree to subscribe to at least one share.
Date of Birth (mm/dd/yyyy)
Physical Address (if different from mailing address)
I authorize the following shares and services to be opened:
SAVINGS CHECKING ATM CARD DEBIT CARD
(Checking Account required)
I hereby certify that the information regarding my membership eligibility provided on this form is true and correct. I understand that my
membership is contingent upon satisfactory verification of my eligibility in accordance with the Credit Union’s Charter and of my identity in
accordance with the USA PATRIOT Act. I further understand my member account is nonassignable and nontransferable to third parties.
or retired from:
I am a member of the PTA/PTSA:
I am the immediate family member of, or share a
household with, the following individual within the
Credit Union’s field of membership:
Relationship to Sponsor:
SCHOOL / EMPLOYMENT INFORMATION
Employee ID # / Student ID#
By my signature below, I hereby authorize the Credit Union to establish a master member account for me and to open the shares and services I
have indicated above.
I hereby authorize the Credit Union to perform a credit check or obtain a credit report at any time. I further authorize the
Credit Union to debit $5.00 from my first deposit to activate my membership. I agree to conform to the Credit Union's bylaws, and understand and
agree that I and my account(s) with the Credit Union are subject to the separate Account Terms & Disclosures, Service Fee Schedule, and Electronic
Funds Transfer Disclosure, and any future amendments thereof, all of which are fully incorporated by reference herein.
CERTIFICATION: Under penalties of perjury, I certify that: (1) The number shown on this form is my correct Taxpayer Identification Number (or I am waiting for a
number to be issued to me), (2) I am not subject to backup withholding because (i) I am exempt from backup withholding, (ii) I have not been notified by the Internal
Revenue Service (“IRS”) that I am subject to backup withholding as a result of failure to report all interest or dividends, or (iii) after being so notified, the IRS 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). INSTRUCTIONS: If you have been notified
by the IRS that you are subject to backup withholding you must cross out item (2). The Internal Revenue Service does not require your consent to any provision of this
document other than the certifications required to avoid backup withholding.
Important Information About Procedures for Opening a New Account: To help the government fight the funding of terrorism and money laundering activities, Federal
law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open
an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other