VISA Check/Debit Card Application
Thank you for your interest in a VISA Check/ Debit Card. Fill in the information below and a Visa Check/ Debit Card application will be sent to you by mail. Please note; a notarized signature is required along with a copy of valid identification. Should you have any questions please contact the Member Service Department at 315-781-1334.

First Name:
Last Name:
Address:
City: State:
Zip:
Daytime Phone Number:
Email Address:
   

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 you 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, and make a copy of the document verified for our records.
Your savings federally insured to at least $100,000 by the National Credit Union Administration, and backed by the full faith and credit of the United States Government.
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