Kenmore Teachers FCU

Authorized User (AU) #1 Name*

First NameLast NameSuffix

Authorized User #1 Email*

example@example.com

Authorized User #1 Cell Phone*

Please enter a valid phone number.

Authorized User #1 KTFCU Account Number*

You must provide one active KTFCU account numner for which you are the signatory..

Do you want to add another Authorized User?*

YesNo

Authorized User (AU) #2 Name*

First NameLast NameSuffix

Authorized User #2 Cell Phone*

Please enter a valid phone number.

Authorized User #2 Email*

example@example.com

Is Authorized User #2 a member of the KTFCU?*

YesNo

Authorized User #2 KTFCU Account Number*

You must provide one active KTFCU account numner for which you are the signatory..

Authorized User #2 Driver's License Number*

Authorized User #2 Driver's License State*

Authorized User #2 Date Of Birth*

Authorized User #2 SSN*

Do you want to add another Authorized User?*

YesNo

Authorized User (AU) #3 Name*

First NameLast NameSuffix

Authorized User #3 Cell Phone*

Please enter a valid phone number.

Authorized User #3 Email*

example@example.com

Is Authorized User #3 a member of the KTFCU?*

YesNo

Authorized User #3 KTFCU Account Number*

You must provide one active KTFCU account numner for which you are the signatory..

Authorized User #3 Driver's License Number*

Authorized User #3 Driver's License State*

Authorized User #3 Date Of Birth*

Authorized User #3 SSN*

Do you want to add another Authorized User?*

YesNo

Authorized User (AU) #4 Name*

First NameLast NameSuffix

Authorized User #4 Cell Phone*

Please enter a valid phone number.

Authorized User #4 Email*

example@example.com

Is Authorized User #4 a member of the KTFCU?*

YesNo

Authorized User #4 KTFCU Account Number*

You must provide one active KTFCU account numner for which you are the signatory..

Authorized User #4 Driver's License Number*

Authorized User #4 Driver's License State*

Authorized User #4 Date Of Birth*

Authorized User #4 SSN*

Select the Type of Entity Your Are Applying For.*

AssociationOrganization

Association/Organization Name*

Association/Organization Phone*

Please enter a valid phone number.

Date Established*

Association/Organization TIN*

TIN is Taxpayer Identification Number

Association/Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Provide a single word Personal Identification Code (no spaces).*

This word will be requested if we are not able to identify you when you phone us. Note, this word is not case sensitive.

Select Association/Organization Account Type*

Share/Savings with Share Draft/CheckingShare/Savings Only

Share Draft/Checking Courtesy Pay Opt/In*

YesNo

Do You Want a Debit Card for This Account?*

Yes, Instant Issue CardYes, Mail the Card(s)No

Provide Authorized User 1's Name to Appear on the Debit Card

First NameLast Name

If applicable, provide Authorized User 2's Name as it is to Appear on the Debit Card.

First NameLast Name

If applicable, provide Authorized User 3's Name as it is to Appear on the Debit Card.

First NameLast Name

If applicable, provide Authorized User 4's Name as it is to Appear on the Debit Card.

First NameLast Name

Debit Card Courtesy Pay Opt/In*

YesNo

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 Association/Organization (A/O) Account Form

Authorized User (AU) Information

Association/Organization Information

Association/Organization Account Information

Review & Submit

Let's Get Started

Open New Association/Organization (A/O) Account Form

Authorized User (AU) Information

Association/Organization Information

Association/Organization Account Information

Review & Submit

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