AACFCU New Account Form

NOTICE
Member Identification Program
Federal regulations enacted pursuant to Section 326 of the USA PATRIOT ACT require all
financial institutions to verify the identity of every person who seeks to open an account
or become a signatory on an account with the institution after October 25, 2002. All
persons are subject to the identity verification requirements even though they may be a
long-term member of and well known to the institution.
For the purpose of the regulation, an “account” includes every formal credit union
relationship that entails ongoing services, dealings or transactions. Some examples are a
deposit account, loan, trust relationship or safe deposit box rental.
If you request to open an account or become a signatory on an account with Army
Aviation Center Federal Credit Union and AACFCU has not previously verified your identity
under the new regulatory requirements, AACFCU will request documentary verification of your
identity, such as a driver’s license or passport AACFCU will verify your identity through other
non-documentary methods. Similar identification requirements apply to business entities such
as corporations and partnerships.
Army Aviation Center Federal Credit Union is required to retain a copy of any document used to
verify your identity.
SINGLE AND JOINT
MEMBER SHARE ACCOUNT INSTRUCTIONS

All signatures on the Membership Application must be notarized if not completed at
an AACFCU branch. The notary date and Membership Application date must
match. A separate notary page must be completed for each account holder.

Complete all fields on the Membership Application.

If for a joint account, complete joint account holder information on Page 1and
Joint Share Account Agreement section on Page 2.

If requesting a share draft account, the Share Draft Agreement must be
completed and signed by all account holders. (Separate form (PDF) located
under Printable Applications.)

Send a copy of the front and back of valid picture identification for each person
on the account.

A valid street address must be verified if different from identification. (Water,
electric and phone bills, military orders assigning personnel to U.S. duty stations
in AACFCU’s Field of Membership can be used for verification.) Members may
use a PO Box address only for the purpose of receiving mail.

Please be sure to include a daytime phone number where you can be reached in
the event a Member Service Representative may need to contact you.
Enclose necessary deposit to open account
__ $6 (single) __ $7 (2 members) __ $8 (3 members) __ $9 (4 members)
Mailing Address:
Army Aviation Center Federal Credit Union
ATTN: New Accounts
P.O. Drawer 8
Daleville, AL 36322
*Membership subject to qualification
Please feel free to contact us if you have any further questions at (334) 598-4411
or 1-800-448-4096 Ext. 3300.
11/20/2015
MEMBERSHIP APPLICATION
PRIMARY MEMBER'S INFO.
Account #
Full Name
Mailing Address:
Physical Address or HOR:
Employer or Organization:
Primary Phone:
Marital Status: Married:
SS#
DOB
City:
City:
Position:
Single:
Secondary #:
Other:
Internet Access: Yes
JOINT ACCOUNT HOLDER INFO. (JO1)
Full Name
Mailing Address:
Physical Address or HOR:
Employer or Organization:
Primary Phone:
Marital Status (Check One): Married:
SS#
St:
St:
DL #
Zip:
Zip:
Position:
Secondary #:
Single:
Ext:
Other:
Email:
SS#
DOB
City:
City:
St:
St:
DL #
Zip:
Zip:
Position:
Secondary #:
Single:
Ext:
Other:
JOINT MEMBER'S INFO. (JO3)
Full Name
Mailing Address:
Physical Address or HOR:
Employer or Organization:
Primary Phone:
Marital Status (Check One): Married:
St:
Zip:
St:
Zip:
Mother's Maiden:
Ext:
Email:
DOB
City:
City:
JOINT MEMBER'S INFO. (JO2)
Full Name
Mailing Address:
Physical Address or HOR:
Employer or Organization:
Primary Phone:
Marital Status (Check One): Married:
No
DL#
Email:
SS#
DOB
City:
City:
St:
St:
DL #
Zip:
Zip:
Position:
Secondary #:
Single:
Ext:
Other:
Email:
I hereby make application for membership in the Army Aviation Center Federal Credit Union, and agree to conform to its bylaws and amendments thereto, copies of which have been made
available to me, and to subscribe for at least one (1) share. "The Credit Union has statutory lien in all shares and dividends held in any account(s) from which you may make withdrawals (except
Individual Retirement Accounts) in the event of a failure to satisfy any outstanding financial obligation due and payable to the Credit Union, and the Credit Union may do this without any further
notice to a member." By signing this card, I authorized this Credit Union to obtain credit information on me and/or any joint applicants applying with me.
Signature
Date
11/20/2015
Social Security #
CERTIFICATION AS TO TAXPAYER IDENTIFICATION NUMBER AND BACKUP WITHHOLDING
(Instruction to Signer. If you have been notified by the Internal Revenue Service (IRS) that you are subject to backup withholding due to payee under reporting and you have not received a notice from the IRS
that the backup withholding has terminated, you must strike out the language in clause 2 of the certification you sign below)
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 subject to backup withholding either because I have not been notified
that I am subject to backup withholding as a result of failure to report all interest or dividends, or the Internal Revenue Service (IRS) has notified me that I am not longer subject to backup withholding. I am a U.S.
person (Including a U.S. resident alien).
Signature
Date
11/20/2015
JOINT SHARE ACCOUNT AGREEMENT
The Army Aviation Center Federal Credit Union is hereby authorized to recognize any of the signatures subscribed hereto in the payment of funds or the transaction of any business for this account. The joint
owners of this account, hereby agree with each other and with said Credit Union that all sums now paid in on shares by any or all of said joint owners to their credit as such joint owners with all accumulations
thereon, are and shall be owned by them jointly, with right of survivorship and be subject to withdrawal or receipt of any of them, and payment of any of them or the survivor or survivors shall be valid and
discharge said Credit Union from any liability for such payment.
Any or all of said joint owners may pledge all or any part of the shares in this account as collateral security to a loan or loans.
The right or authority of the Credit Union under this agreement shall not be changed or terminated by said owners, or any of them except by written notice to said Credit Union which shall not affect
transactions theretofore made.
(the signature on the first line (1) should be same as signed above)
Date
11/20/2015
Account No.
(P)
}
(JO1)
(JO2)
(JO3)
Joint
Owner
Signatures
FOR OFFICE ONLY
Reference Accounts:
P
JO1
JO2
JO3
Change Name From
FEE
How Each Member Qualifies: P
Remove Deceased
Member Code
Add Joint Member(s)
Branch Code
JO1
JO2
JO3
Completed By:
11/20/2015
Reviewed By:
Authorized Signature
Date
NOTARY CERTIFICATE FOR ACCOUNT FORMS
State of
County of
On the ____ day of ___________________,
BBBBBBBBBBBBBBBBBBBBBBpersonally appeared before me
BBBBBBBBBBBBBBBBBBBBBwho verified (his/her/their) identity in the form of _________________________________,
DQGZKRVHname(s) are subscribed to this instrument, and acknowledge that (he/she/they) executed the same.
)XUWKHU,YHULI\that ________________________________ having appeared before me signed the following VSHFLILHGGRFXPHQWV
Account Forms
ACH-Electronic Transfers
Association Membership Application
Business Application
Cancellation of Safe Deposit Box
Change of Address Form
Checking Agreement for Minors
Corporate Membership Application
Cross Referencing Accounts
IRA Forms
Joint Ownership Removal & Insurance Beneficiary Update
Living Trust Application
LLC Membership Application
Member Application
Partnership Application
Payable on Death Account
Proprietor Application
Share Draft Agreement
Stop Payments
What You Need to Know Overdrafts-Opt In /Opt Out
_______ Other
Notary Public
Commission Expires
TELEPHONE CONSUMER PROTECTION ACT OPT-IN FORM
I, as designated below, hereby expressly consent and agree that in order to administer and service any
account, or to collect any amounts that I may owe, plus offer me products and services that may serve my
financial needs, Army Aviation Center Federal Credit Union, its affiliates, agents, assigns and service providers
may contact me at any telephone number that I provide now or in the future that is associated with my
accounts. These numbers include but are not limited to: cellular phones, wireless telephone numbers, and/or
other wireless devices, regardless of whether I incur charges as a result. Army Aviation Center Federal Credit
Union, its affiliates, agents, assigns and service providers may contact me using the following methods: text
messages, pre-recorded/artificial voice messages, and/or use of an automatic dialing system, as applicable.
I certify that I am the subscriber of all telephone numbers provided to Army Aviation Center Federal Credit
Union. Standard rates and fees may apply from my telephone provider. I understand that I am not required to
provide my consent as a condition of receiving any service from Army Aviation Center Federal Credit Union,
and that I have the right to revoke consent for any and all telephone numbers provided at any time. I may
revoke that consent either by e-mailing Army Aviation Center Federal Credit Union, or by notifying Army
Aviation Center Federal Credit Union through written notices, or any other reasonable means.
______ I DO want Army Aviation Center Federal Credit Union to contact me at any telephone number that I
provide now or in the future that is associated with my accounts.
______ I DO NOT want Army Aviation Center Federal Credit Union to contact me at any telephone number
that I provide now or in the future that is associated with my accounts.
Printed Name: __________________________
Date: ____________________________________
Signature: _____________________________
Member #: ________________________________
Telephone numbers we can call:
____________________________________________
____________________________________________
____________________________________________