Savannah Schools Federal Credit Union

MEMBERSHIP REQUEST

When we receive your request for membership, we will send you a membership packet that will include a membership application and any pertinent credit union disclosure information.

Membership Information

______________________________________	______________________________________
Member Full Name	Address
______________________________________	________	______________
City	State	Zip
____________________________________	____________________________________
Employment	Eligibility for Membership
____________________________________	_____________________ _____
SSN / TIN	Driver's Lic. # State
_____________________	__________________________
Date of Birth	Mother's Maiden Name
_____________________	__________________ ______________
Home Phone #	Work Phone # Cell Phone #

Account Type

Checking / Share Draft

Certificate of Deposit (CD)

Savings / Share

Individual Retirement Account (IRA)

Money Maker

Loans

Christmas Club

Other _____________________

Vacation Club

X _______________________________ ____________
Signature Date

You Must Print, Sign, and Return to Credit Union

USA PATRIOT ACT - IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laudering 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.