24 hour Visa Check card Application from Somerset Federal Credit Union

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24-hour Banking/Visa Check Card Application
Somerset Federal Credit Union
740 County Street
Somerset, MA 02726

Please complete all questions below
Click Submit to process form.
An incomplete form may delay processing.

You must have a Share Draft Checking and /or a Statement Savings Account to have a 24-hour Banking Card. If you would like to open an account, stop by our offices and a Customer Service Represenative will help you open one.

Name 1
Name 2 (if joint account)
If this is a joint account, would you like a second card?	Yes No
Address

City
State
Zip Code
Employer
Telephone
E-Mail Address
Social Security Number
Date of Birth
Telephone (Day)
Telephone (Evening)
I wish to access the following accounts:
Account # Share Draft Checking Statement Savings Account Account # Share Draft Checking Statement Savings Account Account # Share Draft Checking Statement Savings Account Account # Share Draft Checking Statement Savings Account Account # Share Draft Checking Statement Savings Account Account # Share Draft Checking Statement Savings Account

By clicking below, I/we hereby authorize the Somereset Fedreal Credit Union to obtain credit information about me for the purpose of issuing a Somerset Federal Credit Union 24 Hour Banking/Visa Check Card. I understand that I/we are the only individual(s) authorized to use the card and that use of the card signifies agreement to the terms and conditions set forth in the Disclosure Statement and Cardholder Agreement.

Applicant 1
Applicant 2