Kenmore Teachers FCU

Applicant Name*

First NameMiddle InitialLast NameSuffix

Applicant Cell Phone*

Please enter a valid phone number.

Applicant Email*

example@example.com

Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Applicant Date Of Birth*

Applicant SSN*

Applicant Driver's License Number*

Applicant Driver's License State*

Applicant Home Phone

Please enter a valid phone number.

Marital Status

Provide a Unique Password*

Must be a minimum of eight characters.

Are You Opening Your First Account as a New Member to the KTFCU?*

YesNo

Account Ownership*

JointIndividual

Account Type*

Share/Savings with Share Draft/CheckingShare/Savings Only

Is This a Sub-Account?

Does This Relate to an Existing Account?

If so, enter the related account number.

Share Draft/Checking Courtesy Pay Opt/In*

YesNo

When opting into Share Draft/Checking Courtesy Pay, the account is reviewed after 60-days before Courtesy Pay is activated. To learn more about Overdrafts and Overdraft Fees, CLICK HERE.

Do You Want a Debit Card for This Account?*

Yes, Instant Issue CardYes, Mail Card to MeNo

How many cards do you want issued?*

Enter Number of Debit Cards.

Debit Card Holder #1*

First NameLast NameSuffix

Debit Card Holder #2

First NameLast NameSuffix

Debit Card Holder #3

First NameLast NameSuffix

Debit Card Holder #4

First NameLast NameSuffix

Debit Card Courtesy Pay Opt/In*

YesNo

Note, Debit Card Courtesy Pay provides a $50 overdraft line-of-credit.

It is very important that you understand the fee details of Debit Card Courtesy Pay. For more information on the mechanics and fee structure of Debit Card Courtesy Pay, CLICK HERE.

Co-Applicant Applicant Name*

First NameMiddle InitialLast NameSuffix

Co-Applicant Cell Phone*

Please enter a valid phone number.

Co-Applicant Email*

example@example.com

Co-Applicant Address Same as Applicant?*

YesNo

Co-Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Co-Applicant Date Of Birth*

Co-Applicant SSN/TIN*

Co-Applicant Driver's License Number*

co-Applicant Driver's License State*

Do You Wish to Exercise Right of Survivorship*

YesNo

Beneficiary 1

Full NameSSN/TINPercentage

Beneficiary 1 Address

Beneficiary 2

Full NameSSN/TINPercentage

Beneficiary 2 Address

Beneficiary 3

Full NameSSN/TINPercentage

Beneficiary 3 Address

Beneficiary 4

Full NameSSN/TINPercentage

Beneficiary 4 Address

Beneficiary 5

Full NameSSN/TINPercentage

Beneficiary 5 Address

Beneficiary 6

Full NameSSN/TINPercentage

Beneficiary 6 Address

Beneficiary 7

Full NameSSN/TINPercentage

Beneficiary 7 Address

Beneficiary 8

Full NameSSN/TINPercentage

Beneficiary 8 Address

If This is a Custodial Account for Minor, Provide the Following Information.

Payable on Death (POD)/Trust AccountUTMA/UGMA AccountMinor SSN/TIN

Employment Status*

If Employment Other, please explain.*

Employer Name*

Employer Phone*

Please enter a valid phone number.

Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Previous Employer

Hire Date

Upload Your Government Issued Photo ID.

Application Terms & Conditions

By clicking the SUBMIT button below:

I/we agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Disclosure, Funds Availability Policy Disclosure and Privacy Notice (which can be found on our website under the Share Savings page) and to any amendment the Credit Union makes from time to time which are incorporated herein.

I/We acknowledge having accessed and read the above documents or are in receipt of a copy of the agreements and disclosures applicable to the accounts and services requested herein.

I/We agree to receive all future communications from the Credit Union electronically.

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.

Confirm Application Terms & Conditions*

I have read and agree to the above Application Term & Conditions.

eSignature Approval*

You acknowledge that by clicking the SUBMIT button you are giving your Signature approval to this Application

I am not a robot*

Let's Get Started

Open New Account Form

Applicant Information

Account Information

Co-Applicant Information

Beneficiary Information

Applicant Employment Information

Previous Employer Information

Upload Your Government Issued Photo ID

Review & Submit

Let's Get Started

Open New Account Form

Applicant Information

Account Information

Co-Applicant Information

Beneficiary Information

Applicant Employment Information

Previous Employer Information

Upload Your Government Issued Photo ID

Review & Submit

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