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VISA Credit Card Application

* Required Fields





    • This application initiates the loan process. Final signature(s) will be required to advance funds, including signatures for joint applicants. We will contact you the next business day.
    • PRIMARY BORROWER INFORMATION








    • * Home/Cell Phone
      ( ) - ext
    • Work Phone
      ( ) - ext




    • EMPLOYMENT INFORMATION (PRIMARY BORROWER)



    • Phone Number
      ( ) - ext


    • Note: alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation


    • CO-BORROWER INFORMATION






    • Home Phone
      ( ) - ext
    • Work Phone
      ( ) - ext




    • EMPLOYMENT INFORMATION (CO-BORROWER)



    • Phone Number
      ( ) - ext


    • Note: alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation


    • MONTHLY PAYMENTS

    • * Mortgage/Rent









    • AGREEMENT
    • DISCLAIMER: I/WE HEREBY CERTIFY THAT ALL STATEMENTS MADE ARE TRUE AND COMPLETE, ARE SUBMITTED FOR THE PURPOSE OF OBTAINING CREDIT, AND THAT THE CREDIT UNION MAY RELY ON THEM FOR SUCH DETERMINATION. WE UNDERSTAND THAT FEDERAL LAW REQUIRES THE VERIFICATION OF IDENTIFICATION FOR ALL NEW ACCOUNTS SHOULD I NOT HAVE AN EXISTING ACCOUNT. I/WE AUTHORIZE YOU TO OBTAIN SUCH INFORMATION AS YOU MAY REQUIRE CONCERNING THE STATEMENTS MADE IN THIS APPLICATION AND PROPER IDENTIFICATION, AND AGREE THAT THE APPLICATION SHALL REMAIN YOUR PROPERTY, AND YOU ARE AUTHORIZED TO ANSWER QUESTIONS ABOUT YOUR CREDIT EXPERIENCE WITH ME/US. BY MAKING THIS APPLICATION, I/WE ACCEPT THE TERMS AND CONDITIONS OF THE LINE-OF-CREDIT AGREEMENT DISCLOSURE. If MY/OUR APPLICATION IS ACCEPTED, I/WE ASSUME LIABILITY FOR ALL CHARGES INCURRED IN ANY UNAUTHORIZED USE OF THE ACCOUNT.
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