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Membership Application

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 ask to see your driver's license or other identifying documents.
Please Note: In addition to the electronic application you are about to submit, Academic Federal Credit Union requires the following in order to process a new account -
1. Photo ID
2. $25.00 Deposit
3. Signature Verification Card
Click here for more information on how to submit these requirements.
Account Type
All of the terms, conditions, form of account ownership, account selection and other information indicated on this form apply to all of the accounts listed below unless the credit union is notified in writing of a change.
Choose Account Type(s)

*Other, specify:
Member Application and Ownership Information
Account Services

Account Ownership
Designate the ownership of accounts and responsibility for the services requested
Joint Owner Information
Account Designations
Beneficiary Designation
Agency Designation
All Accounts (if no, specify)
UTTMA/UGMA (under the Uniform Transfers/Gifts to Minors Act) Designation
Other Designation
TIN Certificate and Backup Withholding Information
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number,
2. 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
3. I am a U.S. person (including a U.S. resident alien).
Certification Instructions.
Check here if, in item 2 above, you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.
Check here if, in item 3 above, you are not a U.S. person
How would you like to receive your statements?

Please note that if you elect to have eStatements you are agreeing to sign up for our online banking services and agree to abide by the terms and conditions of our online banking.
How Did You Hear About Academic FCU?
Electronic Signature & Authorization
By entering your signature(s) below I/We agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Rate and Fee Schedule, 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 Agreement 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 Funds Transfer Agreement. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.
Please Enter Member's Full Name Below and (if applicable) Joint Member's Full Name:
Once you click submit below, you will NOT be able to edit your entries. Please take a moment to verify that all the information you have entered above is correct. If you need to make any changes, make those changes now prior to clicking the submit button.

To be Used by First Time Members Only, if you are a current member and need additional services added to your account please use the contact us secure email.