Member Application

Member Application & Agreement

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 will also ask to see your driver’s license or other identifying documents.

Please complete the short form below and return with a copy of your driver’s license to Old Ocean Federal Credit Union, P O Box 527 Old Ocean, TX 77463.

Primary Owner of Account

You are requesting the following accounts and cards.

Account Type

Checking Savings

Name

First Name

Initial (optional)

Last Name

Residence Address (Do not use P.O. Box)

Address Line 1

Address Line 2

City

State

ZIP Code

Mailing Address

Address Line 1

Address Line 2

City

State

ZIP Code

Home Phone Number

Cell/Work Phone Number

SSN

Driver's License OR State ID

Date of Birth

Mothers Maiden Name

Email Address

I qualify for Membership in this Credit Union because:

Indicate accounts you have with other financial institutions

Savings Checking

Phone Password

Employer

Joint Owner of Account

You are requesting the following accounts and cards.

Name

First Name

Last Name

Residence Address (Do not use P.O. Box)

Address Line 1

Address Line 2

City

State

ZIP Code

Mailing Address

Address Line 1

Address Line 2

City

State

ZIP Code

Home Phone Number

Cell/Work Phone Number

SSN

Driver's License OR State ID

Date of Birth

Mothers Maiden Name

Email Address

Beneficiary on Account

Name

First Name

Last Name

Date of Birth

SSN

Home Phone Number - Copy

Mailing Address

Address Line 1

Address Line 2

City

State

ZIP Code

Member Proxy statement

Authorized Signature

[clear]

Use your mouse or finger to draw your signature above

Joint Signature

[clear]

Use your mouse or finger to draw your signature above

Date

Acknowledge receipt of the named disclosure and the terms and conditions that apply to any approved account.

*Funds Availability

*Truth-In-Savings

*Electronic Funds Transfer