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VISA Account

* Indicates Required

  • Application Requirements

    Eligibility

    Please select your eligibility *
    How did you hear about us? *

    Application Type

    Ownership Type *
    Account Type *
  • Step 2

    Tell us about you

    Your Name

    Where do you live?

    Contact Information

    You must provide a valid email address to complete your application. We ask for your email address so we can send you important communications relating to your application. Please see our Privacy Policy for more details.

    How would you prefer we contact you? *
  • Step 3

    Identifying Information

    We need this information to verify your identity. Information passed through this form is secure.

  • Step 4

    Joint Applicant Information

    We also need information about your Joint Applicant! The next few pages (with "Joint Applicant Information" at the top) ask questions about your Joint Applicant.

    Tell us about you

    Your Name

    Where do you live?

    Contact Information

    You must provide a valid email address to complete your application. We ask for your email address so we can send you important communications relating to your application. Please see our Privacy Policy for more details.

    How would you prefer we contact you? *
  • Step 5

    Joint Applicant Information

    Identifying Information

    We need this information to verify your identity. Information passed through this form is secure.

  • Additional Services

    Additional Services Requested

    TIN certification and backup withholding information

    Under penalties of perjury, I certify that:

      The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued), and
      I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
      I am a U.S. citizen or other U.S. person. For federal tax purposes, you are considered a U.S. person if you are: an individual who is a U.S. citizen or U.S. resident alien; a partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; an estate (other than a foreign estate); or a domestic trust (as defined in Regulations Section 301.77701.7).
      The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

    Certification Instructions.Complete a W-8 BEN if you are not a U.S. person. If a W-8 BEN is completed, your signature does not serve to certify this section.

  • Authorization Agreement

    I/We agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Disclosure, Funds availability Policy Disclosure, if applicable, and to any amendment the Credit Union makes from time to time which are incorporated herein. I/We acknowledge receipt of a copy of the agreements and disclosures applicable to the accounts and services requested herein. If an access card or EFT service is requested and provided, I/we agree to the terms of and acknowledge receipt of the Electronic Fund Transfers Agreement and Disclosure. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.