EIFCU Membership Application

In order to process your Entertainment Industries FCU Membership, please complete the application form below or you may download the EIFCU Membership Application.

Once we receive your application, we will begin processing your membership.

To complete the application process, you will need to visit our location below to sign your application and open your account with a minimum $5.00 deposit. Please bring a picture ID such as your driver's license.

Entertainment Industries FCU
16 West Grand Street
Elizabeth, NJ 07201-2312

We will perform all requirements needed under the USA Patriot Act before account opening.

Entertainment Industries FCU has installed the proper security measures to safeguard the transmission of this document.

* - REQUIRED

Membership Account Type *

Individual

Joint

Minor

Primary Account Holder

First Name *

Last Name *

Date of Birth *

SSN *

Email *

Address *

City *

State *

Zip Code *

Home Phone

Mobile Phone

Work Phone

Employed by

Employer Address

City

State

Zip Code

Joint Account Holder

First Name *

Last Name *

Date of Birth *

SSN *

Address *

City *

State *

Zip Code *

Home Phone

Mobile Phone

Work Phone

Employed by

Employer Address

City

State

Zip Code

TIN Certification and Backup Withholding Information

By completing and submitting this document, I certify, under penalties of perjury (1) that the Social Security Number (SSN)/Taxpayer Identification Number (TIN) shown is my/the correct number; (2) that I am NOT, unless designated below, 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 dividends or interest, or because the IRS has notified me that I am no longer subject to backup withholding and; (3) that I am a U.S. person (including a U.S. resident alien).

Select withholding status

I am subject to backup withholding

Exempt

I am not a United States citizen (complete W-8 form)

The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

By completing and submitting this document, I/we agree to be bound by the terms and conditions of the credit union's Terms and Conditions of Your Account, Rate and Fee Schedule, Truth-In-Savings Disclosure, Funds Availability Disclosure and Electronic Funds Transfer Disclosure Statement and Agreement.

MEMBER SAVINGS ACCOUNT AGREEMENT (*NOT TRANSFERABLE)
I hereby authorize the Entertainment Industries Federal Credit Union (Credit Union) to establish this member savings account for me/us and subscribe for at least one transferable share ($5.00). I/We agree to be bound by the terms and conditions of any account I have in the credit union now and in the future. In conjunction with my/our membership, I authorize the credit union to obtain credit reports in connection with this application for membership. If you request, the credit union will tell you the name and address of any bureau from which it received a credit report on you.

JOINT SHARE ACCOUNT AGREEMENT (*NOT TRANSFERABLE)
ENTERTAINMENT INDUSTRIES FEDERAL CREDIT UNION is hereby authorized to recognize any of the signatures subscribed 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, or heretofore or hereafter 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 the withdrawal or receipt of any of them, and payment to any of them or the survivor or survivors shall be valid and discharge said credit union from any liability for such payment. The joint owners also agree to the terms and conditions of the account as established by the credit union from time to time. 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 from the credit union.

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.

To avoid any monthly fees, $255.00 on deposit is required.

Signature(s)

Typing your name(s) into the signature field(s) below will constitute an electronic signature.

Primary Applicant Signature *

Date

Do not fill in this form field. It is used to detect spammers. If you enter anything into this field, the form will not be sent.

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