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Additional feature(s)

Add Account

Description

Funding

How much do you want to deposit?

Total Deposit*

How do you want to fund your new account?*

Not Funding At This Time

Credit Card (max $1,000.00)

Transfer From Another Financial Institution (max $5,000.00)

Mail A Check

Internal Transfer

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Tell Us About Yourself

About Your Custodian or Joint Applicant

Personal Information

Click or tap here to pre-fill information with your driver's license

Are you an employee of FedChoice Federal Credit Union?

SSN Show SSN

Your Social Security Number (SSN) is used for identification purposes and to determine your account opening eligibility.

First Name*

Middle Name

Last Name*

Suffix (Jr., Sr., etc.)

Gender:

Date of Birth*

Mother's Maiden Name*

Citizenship Status*

Add a beneficiary

Please indicate the percentage of the payout each beneficiary will receive:

Total

Distribute Evenly

Press this button if you want to assign an equal value to all beneficiaries.

In some cases, 100 cannot be divided evenly by the number of beneficiaries When this occurs, the amount of the first beneficiary will be increased to make the total equal 100%.

Current Physical Address

Country*

Address*

Zip*

City*

State*

Occupancy Status*

Occupancy Duration*

Use different address for mailing

Mailing Address

Country*

Address*

Zip*

City*

State*

Contact Information

Identification

ID Type*

ID Number

ID State

ID Country

ID Date Issued

ID Expiration Date

About Your Employment

Employment Status*

Gross Monthly Income (before taxes)

As the custodian for under the Virginia Uniform Transfers to Minor Act, I make this application on the minors

eSignature

Date:

Please attach a copy of your chosen method of identification. This may include a Government Issued ID, Drivers License, State ID or a Passport with current address.

Capture/Scan/Upload Now

Continue without Co-Applicant Continue with Co-Applicant Or Go Back

To speed up the application process, please take a picture of the BACK of your United States driver’s license. This will prepopulate your name and address information directly to your application.

If you do not wish to use this feature simply click the “Done” button, to proceed.

Recommendation for best recognition:

* Use a dark background

* Make sure all four corners are visible

* Avoid glare

* Make sure image is in focus

Done

Recommendation for best recognition:

* Use a dark background

* Make sure all four corners are visible

* Avoid glare

* Make sure image is in focus

Done

System can't prefill due to ZIP code discrepancy. Please proceed by manually entering the information or correct the value in the ZIP field in the 1st page.

Tell Us About Yourself

Minor Information

Suffix (Jr., Sr., etc.)

Gender:

Date of Birth*

Mother's Maiden Name*

Citizenship Status*

Contact Information

Current Physical Address

Country*

Address*

Zip*

City*

State*

Use different address for mailing

Mailing Address

Country*

Address*

Zip*

City*

State*

Continue Or Go Back

About Your Joint Applicant

Personal Information

Click or tap here to pre-fill information with your driver's license

Are you an employee of FedChoice Federal Credit Union?

SSN Show SSN

Your Social Security Number (SSN) is used for identification purposes and to determine your account opening eligibility.

First Name*

Middle Name

Last Name*

Suffix (Jr., Sr., etc.)

Gender:

Date of Birth*

Mother's Maiden Name*

Citizenship Status*

Current Physical Address

Country*

Address*

Zip*

City*

State*

Occupancy Status*

Occupancy Duration*

Use different address for mailing

Mailing Address

Country*

Address*

Zip*

City*

State*

Contact Information

Identification

ID Type*

ID Number

ID State

ID Country

ID Date Issued

ID Expiration Date

About Your Employment

Employment Status*

Gross Monthly Income (before taxes)

Please attach a copy of your chosen method of identification. This may include a Government Issued ID, Drivers License, State ID or a Passport with current address.

Capture/Scan/Upload Now

Continue Or Go Back

Review and Submit

Branch Selection

Product Selections

Other Product Interest

Product Additional Features

Applicant Information

Beneficiary Information

Contact Information

Identification Information

Address

Employment Information

Previous Employment Information

Joint Applicant Information

Joint Applicant Contact Information

Joint Applicant Identification

Joint Applicant Address

Joint Applicant Employment Information

Funding Source

Have comments

Please answer question(s) below

1. How did you hear about FedChoice?*

2. Tax Identification Number Certification - Under penalties of perjury, I certify (1) that the number shown on this form is my correct taxpayer identification number, and (2) that I am not (unless otherwise designated below) subject to withholding either because I have not been notified that I am 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 that I am no longer subject to backup withholding. THE INTERNAL REVENUE SERVICES DOES NOT REQUIRE YOUR CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATION REQUIRED TO AVOID BACKUP WITHHOLDINGS.*

3. OPT IN FOR ESTATEMENTS: You are agreeing to receive your statements and all your other account information electronically. You'll have instant access to all your important documents. Select YES to OPI IN for estatements and avoid a monthly fee for paper statements.*

Read, Sign and Submit

I apply for membership, or I am requesting a sub-account, in FedChoice Federal Credit Union and agree to conform with its Bylaws and any amendments. By signing this application and establishing a membership account, I understand that I can establish other sub-accounts at any future time by calling, writing, going online or coming into any Financial Service Center to request this service. My signature constitutes a request for any identifying number and/or access device issued by the Credit Union in connection with such accounts. I understand that the Credit Union has the right to approve or deny opening sub-accounts or other access device services and that credit reports or other third party information may be obtained at any time provided that they are used for any permissible purpose as defined under the Fair Credit Reporting Act (FCRA). The Credit Union is authorized to charge this account for any obligation owed by me or any joint/multiple party owners. Any account ownership designated under this account will apply to all additional sub-accounts. I agree to the terms and conditions detailed in the FedChoice Federal Credit Union Membership and Account Agreement including Disclosures.

Important Information About Account Opening Procedures: 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 to 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 will also ask for your driver's license or other identifying documents.

By proceeding, I hereby agree to the terms and conditions in the Membership and Account Agreement including Disclosures.

I have read and understand the eSignature Consent. I have read and understand the Electronic Delivery Disclosure.

Email Agreements & Disclosures

Your E-mail Address

The links to Agreements & Disclosures will be sent to your e-mail account so you may view/print later.

Send

I Agree Or Go Back

Authentication Questions

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301.699.6100 Or Contact Us

FedChoice Federal Credit Union

Federally Insured by NCUA. Equal Opportunity Lender.

New Membership

Funding

Fund via Internal Transfer

Fund via Credit Card

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Transfer from another finacial institution

Tell Us About Yourself

Co-Driver's License Scan

Driver's License Scan

Minor Applicant Information

Joint Applicant Information

Review and Submit

Authentication Questions

Application Completed

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