Membership Authorization: I/We hereby make application for membership in Kemba Credit Union and agree to conform to its Articles, By Laws, and Regulations, copies of which have been made available to me/us and amendments thereof, and to subscribe for at least one (1) share. I/We agree to be bound by the applicable agreements which have been provided to me/us in current form for the accounts and services indicated below. All accounts designated to have one or more Co-owners in addition to the Primary Member/Owner shall be in Joint Tenants with Rights of Survivorship.
Taxpayer Identification and Backup Withholding: 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 a failure to report all interest or dividends, or the Internal Revenue Service (IRS) has notified me that I am no longer subject to backup without withholding and that I am, unless designated below, a U.S. person (including U.S. resident alien).
I/We Acknowledge Receipt of a copy of the Agreement and Disclosures, and policy procedures applicable to each of the credit union?s accounts.
I/We agree that Kemba Credit Union may contact any source necessary to determine my/our credit and financial responsibility. The Information provided on this application is true and complete.
The IRS does not require you to consent to any provisions of this document other that the certifications required to avoid backup withholding.
Trouble loading the application? If you are unable to use the links on this page successfully, it may be because you are using a pop-up blocker that is blocking the application. You can correct this by allowing pop-ups on this page or by adding your financial institution's web address and https://webadmin.cavionplus.com to your pop-up blocker's list of allowed sites. Be advised that you may have more than one pop-up blocker program enabled, particularly if you have installed additional toolbars to your browser.
We have invested in VeriSign's secure server digital certificate to protect your data. Through the use of Secure Socket Layer (SSL) technology, the standard for secure communications on the Web, your data is being sent to a secure database and is encrypted to protect your privacy.