XA Mobile

Eligibility

Applying is fast and easy!

You will need the following information in order to complete the application:

Government issued ID/Drivers License/State ID or Passport with current address

Your complete physical and mailing address

Social Security Number

Date of Birth

Select your eligibility

I live, work, or worship in one of the following Kansas counties:

I am an employee, a retiree, or a member of one of the following organizations:

I am related to a current Azura member:

Enter name of family member:

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Required Products

Select at least one of the following products required for membership

Primary Savings

This is the required membership share account to join Azura. It may be used as a traditional savings account but a minimum of $5 must be maintained for membership.

Requires a $5 opening deposit

You may select one of the following products

Available Products

Checking Savings Money Market

Beyond Checking

Above Checking

Above Checking offers you the advantage of earning interest on balances over $100.

Requires a $25 opening deposit

CareFree Checking

Azura's CareFree Checking has no monthly fees and no minimum balance required.

Requires a $25 opening deposit

Regular Savings

This account is an additional savings under your membership account number.

Money Market

Make your money work for you! The higher your balance, the higher the interest with a Money Market account.

Requires a $1,000 opening deposit

APY (Annual Percentage Yield)

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Description

Details

Select feature(s)

Additional feature(s)

Add Account Remove Account Save Account OK

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Choose your rate

Specify the amount to deposit

Choose your term

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Maturity Date

Application Cancelled

We have cancelled your application.

If this was a mistake and you would like to fix errors you can return to the application now.

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Funding

How much do you want to deposit?

Total Deposit

How do you want to fund your new account?

Not Funding At This Time

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*Required Field(s)

Done

There was a problem with your request

Let Me Fix Continue

Done

Insufficient Balance

This account does not have sufficient balance to cover the total required deposit.

Please select another account.

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Instant Account Verification

We offer a way to instantly verify your account information using . We only use this partner service to retrieve information required to transfer funds from your specified financial institution and to verify that your current balance is sufficient for this transaction.

Continue

Verify account manually instead

By clicking the "Continue" button above, you are agreeing to the terms of our user agreement.

'Doing Business As' Information

DBA Business Information

Company Name

Business Tax ID Type

TIN

SSN

Business Tax ID

Show TIN

Your Business Tax ID is used for identification purposes.

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

Industry

Phone

(xxx) xxx-xxxx

DBA Physical Address

Country

Address

Zip

City

State

Occupancy Status

Occupancy Duration

Use different address for mailing

Mailing Address

Country

Address

Zip

City

State

Continue Or Go Back

Tell Us About Yourself

Suffix (Jr., Sr., etc.)

Date of Birth

Citizenship Status

Current Physical Address

Country

Address

Zip

City

State

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

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

eSignature

Date:

Upload Documents

REQUIRED UPLOAD:

Picture of Acceptable ID such as:

- Driver's License

- Passport

Click or tap here to capture or upload an image or document.

Do you have any beneficiaries?

Yes

Do you have another applicant?

Yes

Continue Or Go Back

Speed up your application process by taking the BACK image of your US driver's license.

If you do not wish to use this feature, simply close this popup window and 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

Speed up your application process by taking the BACK image of your US driver's license.

If you do not wish to use this feature, simply close this popup window and 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

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

Identification

ID Type

ID Number

ID State

ID Country

ID Date Issued

ID Expiration Date

Continue Or Go Back

About Your Joint Applicant

Suffix (Jr., Sr., etc.)

Date of Birth

Citizenship Status

Current Physical Address

Country

Address

Zip

City

State

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)

Upload Documents

REQUIRED UPLOAD:

Picture of Acceptable ID such as:

- Driver's License

- Passport

Click or tap here to capture or upload an image or document.

Continue Or Go Back

Tell us about your beneficiaries

Add an additional beneficiary

Are you sure you want to remove this beneficiary?

Remove

Cancel

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

Continue Or Go Back

Tell us about your beneficiary percent shares

Other Products

Total beneficiary percent share: 0.00%

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

Total

0.00%

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%.

Continue Or Go Back

Review and Submit

Product Selections

Additional Application Information

Applicant Information

Contact Information

Identification Information

Secondary Identification Information

Address

Employment Information

Previous Employment Information

Joint Applicant Information

Joint Applicant Contact Information

Joint Applicant Identification

Joint Applicant Secondary Identification

Joint Applicant Address

Joint Applicant Employment Information

Beneficiary Information

Funding Source

Have comments

Read, Sign and Submit

In order to complete your application, please read the disclosure below and click the “I Agree” button.

You are now ready to submit your application! By clicking on "I Agree", you promise that everything you have stated in this application is correct to the best of your knowledge. If there are any important changes you will notify us immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, increase, renewal, extension or collection of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a crime to willfully and deliberately provide incomplete or incorrect information in this application.

Email me all below disclosure link(s)

I have read and understand the E-Communication Consent Disclosure

I have read and understand Azura's Membership Account Agreement and Disclosures

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

One-Time Passcode

Submit Code

Authentication Questions

Submit Answers

Continue Cancel

Do you want to cancel the verification process? Doing so may delay the processing of your application.

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Do you want to cancel the verification process? Doing so may delay the processing of your application.

Yes No

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Funding later may delay account activation

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Fund Now with Repay

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Product Type	Maximum Deposit	Your Requested Deposit
Checking
Savings
Certificate

Fund via Internal Transfer

Fund via Credit Card

Alert Popup

Transfer from another financial institution

Co-Driver's License Scan

Driver's License Scan

Other Products

Document Upload Source Selector

Document Upload Source Selector

One-Time Passcode

Document Verification

Restart Popup

Document Verification

Restart Popup

Alert Popup

Alert Popup

Restart Popup

New Membership

Application Cancelled

Funding

Fund via Internal Transfer

Fund via Credit Card

Alert Popup

Transfer from another financial institution

'Doing Business As' Information

Tell Us About Yourself

Co-Driver's License Scan

Driver's License Scan

Minor Applicant Information

Joint Applicant Information

Beneficiaries Information

Beneficiaries percent share information page

Other Products

Document Upload Source Selector

Document Upload Source Selector

Review and Submit

One-Time Passcode

Authentication Questions

Document Verification

Restart Popup

Document Verification

Restart Popup

Application Completed

Almost Done

Congratulations

Funds Pending

Almost Done

Congratulations

Funds Pending

Almost Done

Congratulations

Funds Pending

Almost Done

Alert Popup

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Access Denied