Maroon Financial Credit Union - Membership Application

Maroon Financial Credit Union

Applications

Membership Application

You may join Maroon Financial Credit Union if you are a student, alumni, faculty or staff member of the University of Chicago or University of Chicago Medical Center, including its subsidiaries and affiliated organizations; or if you are a family member of a current member.

To apply, please complete all the requested information below and submit the application. If you need assistance with this application please contact us.

USA PATRIOT ACT Notice: Federal law requires us to obtain, verify, and record information that identifies each person who opens an account. Each person who signs this application must provide name, residence address, birth date, and taxpayer ID. We can ask to see your driver's license or other identifying documents and we can retain copies of them.

To apply, please complete all the requested information below and submit the application. If you need assistance with this application please contact us:

MEMBERSHIP ELIGIBILITY

I qualify for membership because I am: *

STUDENT OF UNIVERSITY OF CHICAGO

ALUMNI OF UNIVERSITY OF CHICAGO

EMPLOYEE OF UNIVERSITY OF CHICAGO

EMPLOYEE OF UNIVERSITY OF CHICAGO HOSPITALS

I AM AN IMMEDIATE FAMILY MEMBER OF A CURRENT MEMBER OR I RESIDE IN THE SAME HOUSEHOLD:

QUALIFYING MEMBER #	RELATIONSHIP

1. PRIMARY MEMBER INFORMATION

First Name:

*

Middle Name:

Last Name:

*

Date of Birth:

* (MM/DD/YYYY)

Birth Place:

*

Social Security Number:

* (000-00-0000)

Driver's License or State I.D. Number:

* State: *

Mother's Maiden Name:

*

Home Phone:

* (000) 123-4567

Work Phone:

(000) 123-4567

Email Address:

*Employees and students of The University of Chicago and University of Chicago Medical Center must provide a valid University or Medical Center-issued email address

Verify Email Address:

* (enter twice to confirm)

Street Address:

*

City:

* State * Zip *

Time at Current Address:

* Years * Months

Employer:

*

Job Title:

*

Employment Start Date:

(MM/DD/YYYY)

I would like to open the following accounts:

Savings Account *	(required for new members)
Checking Account
Money Market
Certificate of Deposit
Holiday Club
Vacation Club

If applying as an individual applicant only to skip the Joint Member section.

2. JOINT MEMBER INFORMATION


First Name:	*
Middle Name:
Last Name:	*
Date of Birth:	* (MM/DD/YYYY)
Birth Place:	*
Social Security Number:	* (000-00-0000)
Driver's License or State I.D. Number:	* State: *
Mother's Maiden Name:	*
Home Phone:	* (000) 123-4567
Work Phone:	(000) 123-4567
Email Address:	*Employees and students of The University of Chicago and University of Chicago Medical Center must provide a valid University or Medical Center-issued email address
Verify Email Address:	* (enter twice to confirm)
Street Address:	*

City:	* State * Zip *
Time at Current Address:	* Years * Months
Employer:	*
Job Title:	*
Employment Start Date:	(MM/DD/YYYY)

3. AUTHORIZATION / SIGNATURES

I/We hereby make application for membership in Maroon Financial Credit Union, and agree to conform to its bylaws and amendments thereof, and to subscribe for at least one (1) share. The Maroon Fiinancial Credit Union is hereby authorized to recognize any of the signatures subscribed hereto in the payment of funds or the transaction of any business for this account. The joint owners of this account hereby agree with each other and with said Credit Union that all sums now paid in on shares, or heretofore or hereafter paid in on shares by any or all of said joint owners to their credit as such joint owners with all accumulations thereon, are and shall be owned by them jointly, with right of survivorship and be subject to the withdrawal or receipt of any of them, and payment to any of them or the survivor or survivors shall be valid and discharge said conditions of the account as established by the Credit Union from time to time. Any or all of said joint owners may pledge all or any part of the shares in this account as collateral security to a loan or loans from this Credit Union. The right or authority of the Credit Union under this agreement shall not be changed or terminated by said owners, or any of them, except by written notice to said Credit Union which shall not affect transactions theretofore made. I/We acknowledge and agree that by providing my email address on this application, I/we may from time to time receive information via email regarding Maroon Financial Credit Union products and services, and that my/our information will never be sold to a third party. I/We hereby acknowledge receipt of the Disclosure of Account Terms booklet and agree to the terms and conditions therein.

You must read and agree to the disclosures below by clicking the "I AGREE" box next to each disclosure.

I/We agree that under the penalties of perjury I certify (1) that the number shown on this form is my/our correct taxpayer identification number and (2) that I/we am/are not subject to backup withholding either because I/we have not been notified that I/we am/are subject to back up withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me/us that I/we am/are no longer subject to backup withholding, and (3) I/we am/are a U.S. person(s) (including a U.S. resident alien).

	I/We AGREE
	I/We DO NOT AGREE

I/We certify that all information is true and complete. I/We authorize Maroon Financial Credit Union to investigate my (our) creditworthiness, employment history, obtain a credit report, and answer any questions about my (our) credit experience with Maroon Financial credit Union. If approved, I/we understand interest rates, terms of loan, and loan-to-loan value granted, are determined by creditworthiness. I/We am/are aware of the right to know my (our) credit score in the event I/we receive less desirable credit terms. I/We understand any false or misleading statement in this application may cause Maroon Financial Credit Union to consider the loan in default.

	I/We AGREE
	I/We DO NOT AGREE

_________________________________________/_______/__
PRIMARY MEMBER'S (OWNER'S) SIGNATURE	DATE

4. APPLICATION INSTRUCTIONS

After you have completed the application above:

1. PRINT THE APPLICATION NOW
(press the "Print Application" button below)
Your application must be mailed or brought in to the branch. Mailing instructions will be provided on the next confirmation screen after you complete step 2 below and submit your application.

2. SUBMIT THE APPLICATION
(press the "Submit Application" button below)

Your information will be received by the Credit Union in advance of your printed/mailed application. We will begin processing your application once we receive your application online. However, to protect both you and the Credit Union, the Credit Union will not allow withdrawals from your accounts, order checks, or issue any electronic access until we receive the required items mentioned on the next final confirmation screen.

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