Business Membership Application
Opening Additional Accounts - Current Members
Please provide all the requested information. Once you have completed the application, press the Submit button. Each application will be checked for verification through BANK CARS. You will need to send a check for at least the minimum required amount for each account. Click here for a list of minimum required amounts by account. If you have any problems or questions, please give us a call at (515) 288-7225 or 1-800-343-1028 or e-mail us at info@affinitycuia.org.
Important Information About Procedures For Opening A New Account
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.
What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
We may also ask to see your driver's license or other identifying documents.
Business Name :
Business Taxpayer Identification Number - TIN:
Last Name:
First Name:
Fee Free Share Draft Checking Account
Overdraft Protection (click here for information)
Visa® Check Card (no charge)
MasterCard® Credit Card
Money Market Account
Certificate of Deposit
Loan
Middle Name:
Position Title:
Residence Address: (not a PO Box)
City:
State:
Zip Code:
Mailing Address: (if different)
Social Security No:
Driver's License No:
Home Phone No:
Work Phone No:
Date of Birth:
Relationship to Primary Owner:
Mother's Maiden Name:
Password: * If you plan to call our office to transact business or request information about your account(s), you must have an account password established. Account passwords enable credit union staff members to verify your identity over the phone.
By submitting the application, I/we agree to the terms and conditions on any approved account, as amended from time to time; and authorize the Credit Union to verify credit and employment history by any necessary means, including request of a credit report by a credit reporting agency. I/we certify that the information provided on this application is true and correct.
You are about to send information over the Internet.
