SCAM ALERT: If you receive a text message asking you to confirm a cash transaction by replying "Yes" or "No," do not respond. This is a scam. The message claims to be from the PATENT & TRADEMARK OFFICE F.C.U. SECURE FRAUD ALERTS, but we do not send out fraud alerts. Stay vigilant and protect your information.

We will be closed on July 4th in observance of Independence Day and reopen on July 7th at 9:00 a.m.  If the federal government closes early on July 3rd, we will close at 1 p.m.

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Application Type:
Account Type:
*The account number for each of the accounts listed of the suffix added to the end of the Member Number listed in the "MEMBER APPLICATION AND OWNERSHIP INFORMATION" section. If this Card applies to more than one account of the same type, more than one suffix will be listed for that account type.

BEN'S FRIENDS MEMBERSHIP APPLICATION


Date of Birth:
 /   / 

JOINT ACCOUNT OWNERSHIP

Joint Account Type:

Date of Birth:
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AUTHORIZATION

By signing below, I/we agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Disclosure, Funds Availability Policy Disclosure, if applicable, and to any amendment the Credit Union makes from time to time which are incorporated herein. I/We acknowledge receipt of a copy of the agreements and disclosures applicable to the accounts and services requested herein. If an access card or EFT service is requested and provided, I/we agree to the terms of and acknowledge receipt of the Electronic Fund Transfers Agreement and Disclosure. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

Security Code: