Membership Application

I would like to open the following accounts

Savings & Checking

Share Savings

Share Draft Checking

Money Market Share

Smarty

IRA Share

Holiday Club Share

Success Checking

Prosperity Checking

Share Certificate with the following term

Traditional IRA Certificate with the following term

Roth IRA Certificate with the following term

Jumbo Share Certificate with the following term

Membership Status

I am an existing member.

My account number is

I am a new member.

I qualify for membership because I:

reside at Aurora Area Schools

work at Aurora Area Schools

attend an Aurora Area School

am an immediate family member of a current member, or reside in the same household

Current member name

Relationship to current member

Primary Account Holder

Existing members need only complete name & SSN

Last Name

First Name

Middle Name

Social Security Number

Mother's Maiden Name

Address (no P.O. Boxes please)

City

State

Zip

Years at residence

Rent or Own?

Monthly Payment

Rent

Own

Driver's License Number

State of issue

Date of Birth

Place of Birth

I do not have a state-issued Driver's license. In order for you to verify my identity, I am providing:

Government-issued ID Card

U.S. Military ID Card

U.S. Passport

Permanent Resident Card

Other

If you chose any of the options above, please provide as much detail as possible - number, state of issue, or any other pertinent information.

Employer's name and address

Position/Title

Gross Monthly Salary

Home Phone

Cell Phone

Work Phone

Home Email Address

Work Email Address

Joint Owner

I would like to add the following joint owner on my account
(do not complete if you will be the only owner on the account)

Joint Account Holder

Last Name

First Name

Middle

Social Security Number

Mother's Maiden Name

Address (no P.O. Boxes please)

City

State

Zip

Years at Residence

Rent or Own?

Monthly Payment

Rent

Own

Driver's License Number

State of Issue

Date of Birth

Place of Birth

I do not have a state-issued Driver's license. In order for you to verify my identity, I am providing:

Government-issued ID Card

U.S. Military ID Card

U.S. Passport

Permanent Resident Card

Other

If you chose any of the options above, please provide as much detail as possible - number, state of issue, or any other pertinent information.

Employer's Name and Address

Position/Title

Gross Monthly Salary

Home Phone

Cell Phone

Work Phone

Home Email Address

Work Email Address

Beneficiary

(Optional) I would like the following Payable-on-Death Beneficiary, who will receive the funds in this account if I die (or, on a joint account, when all joint owners die):

Payable-on-Death Beneficiary

POD Name

Social Security Number

Phone Number

Address

City

Zip

Additional Account Services

I would like the following additional services:

Debit/Check Card

Additional Card for Joint Owner

E-Statements

Please send statements to the following e-mail address

E-Notices

Please send notices to the following e-mail address

Telephone Banker

Home Banking and Bill Pay

Overdrafts

Please tell us how you would like overdrafts to be treated by completing the following: (You must complete BOTH this section and the "What You Need to Know about Overdraft Fees" form)

1. Overdraft Protection Plan. Under the Overdraft Protection Plan, I may authorize you to pay transactions that would cause an overdraft of my checking account by transferring funds from an existing savings account, or by advancing funds from a line of credit. If I elect Overdraft Protection, you will look to this plan for funds to cover my overdrafts before you use your standard overdraft procedures. If I choose not to elect Overdraft Protection, or I have insufficient funds in my account or insufficient credit available on my line of credit to cover the overdrafts, then your standard overdraft practices will govern. Under those practices, you may (but don't have to) pay checks and automatic bill payments that cause overdrafts; if you do so, you will charge me a fee. If an ATM transaction or one-time debit card transaction causes the overdraft, I must tell you if I want you to pay such transactions or to decline such transactions. (See separate "What You Need to Know About Overdrafts and Overdraft Fees".)

Yes, I would like Overdraft Protection.

Please pay any overdrafts in my checking account by withdrawing deposit account funds or charging the loan account as follows: (indicate the order you would like funds transferred by placing 1 for first choice, 2 for second choice, etc. If there are not sufficient available funds in your first choice, then funds will be transferred from your second choice, etc.):

Share Savings Account

Money Market Share

Line of Credit

2. Standard Overdraft Practices. Please complete the separate "What You Need to Know About Overdrafts and Overdraft Fees" document.

No thanks; I will use your standard overdraft practices.

TIN and Backup Withholding Certification

Complete the following section:

Under penalties of perjury, I certify that the number shown on this Application as my Social Security Number or TIN is my correct taxpayer identification number, and that

I am not subject to backup withholding

I am a U.S. Citizen

I am subject to backup withholding

I am not a U.S. Citizen and agree to complete a W-8 or other applicable form

Authorization

I agree to the terms below

By signing below, I am applying for membership in the credit union and/or for the accounts and services indicated. I certify that all information provided in this Application is true and complete to the best of my knowledge. I agree to abide by the Bylaws and other rules of the credit union and agree not to cause any loss to the credit union. I acknowledge receipt of, and agree to the terms of, the Membership Account Agreement, Privacy Notice, Funds Availability Disclosure, Electronic Funds Disclosure, Truth-in-Savings Disclosures and Rates and Fees Schedule, and to any amendments made thereto.

I also authorize you to check my employment and credit history and to obtain credit reports in connection with this application and from time to time to determine my eligibility for credit union products and services, and I acknowledge that you may share information pertaining to my accounts with credit bureaus and others as allowed under applicable law.

Permission to contact: By providing a wireless telephone number (i.e., cell phone), I consent to receiving calls, including autodialed and prerecorded message calls, from the credit union or its third party debt collector at that number.

Security Interest: All present and future deposits into my accounts will secure any and all obligations that I owe the Credit Union, including fees and charges as well as loans and credit cards that I have with you.

IMPORTANT NOTICE 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. This means that 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 will also ask to see your driver's license or other identifying information.

SMS Messages Consent

Yes, I consent to having The District Credit Union contact me via SMS messaging.

No, I do not consent to having The District Credit Union contact me via SMS messaging.

By providing your mobile phone number and selecting “Yes, I consent,” you agree to receive SMS messages from The District Credit Union for informational and promotional purposes. Message and data rates may apply. You may opt out at any time by replying "STOP" to any of our messages.

Read our Privacy Policy

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