Library of Congress Federal Credit Union's Membership and Services Application

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Welcome to Library of Congress Federal Credit Union. Please complete this application and click the "Submit" button to send your application to the Credit Union for processing. A membership account agreement along with a copy of the terms and conditions applicable for each account or service requested will be sent to you for your signature.

Existing members can use this form to add new accounts and services.

New Members:

I would like to apply for membership. I am eligible for membership through my:
Employer (Employer Name)
Family Member (Family Member's Name)

In addition to the required savings account, please add the following requested accounts and services.

Existing Members:

I am an existing member and would like to add the following accounts and services:
My Member Number is

Accounts & Services
Checking Money Market Share Certificate
Holiday Savings IRA Share Account IRA Certificate
2 Yr Monthly Income Cert Vacation Savings Custodial Account
Monticello Society
(55 years or older)

Youth Account
(Birth-12 years old)

Young Adult Account
(13-21 years old)
Visa CheckCard
ATM Card
ELSIE Access(Primary Owner)(Joint Owner)

Primary Owner of Account
*Name (First M. Last)
*Residence Address (not P.O. Box)
*City, State Zip ,
Mailing Address (if different)
Mailing City, State Zip ,
*Social Security No. (TIN)
*Driver's License Number *State
*Driver's License Issue Date
Driver's License Expiration Date
*Home Phone Number
*Work Phone Number
*Date of Birth
I AM subject to back-up withholding
I AM NOT subject to back-up withholding
*Mother's Maiden Name
*How did you hear about us?

Joint Owner
Name (First M. Last)
Residence Address (not P.O. Box)
City, State Zip ,
Mailing Address (if different)
Mailing City, State Zip ,
Social Security No. (TIN)
Driver's License Number State
Driver's License Issue Date
Driver's License Expiration Date
Home Phone Number
Work Phone Number
Date of Birth
Relationship to Primary Owner
Mother's Maiden Name
How did you hear about us?

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial information that identifies each person who opens an account. When you open an account, we will ask for your name(s) address, date of birth, and other information that will allow us to identify you. We may also ask to see your driveríŽs license or other identifying documents.

* indicates a required field

CREDIT VERIFICATION íV By submitting this application, you agree that we may verify credit and employment history, including obtaining a credit report by a credit reporting agency.