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*Compensating
balance equal to credit limit is required I Agree, and have read and printed off a copy for my records. | |||||||||||||||||||||||||||||||||||||||||||||||||
SIGNATURES: By transmitting this application to the Credit Union by mail, by fax, electronically, or by other means, I (we) certify that the information I (we) have provided is accurate and complete and that I (we) have not omitted any material information. This statement is submitted to obtain credit and I (we) certify that all information herein is true and complete. I (we) also authorize the credit union to verify or obtain further information the credit union may deem necessary concerning my (our) credit standing. If this application is approved and a credit card(s) issued, the undersigned applicant(s) by signing, using or permitting another to use the credit card(s) agree(s) that the applicant(s)will be bound by the terms and conditions of the VISA card agreement including the payment of all fees and other charges applicable to the account. "I (We) agree to pay the credit union all reasonable costs the credit union incurs to collect debts incurred under my (our) VISA agreement with the credit union, or realize on any security, including reasonable attorneys fees, court costs, and collection agency fees to the extent allowed by applicable laws or regulations." The VISA card agreement will be furnished to me (us). Should my (our) application for VISA Gold be denied, my (our) signature below constitutes my (our) application for VISA Classic or Secured.
| SIGNATURE X_______________________________________________DATE__________ |
| MEMBER NAME TO BE EMBOSSED ON VISA CARD: (19 CHARACTERS MAXIMUM) |
| CO-APPLICANT'S SIGNATURE X___________________________________DATE__________ |
| CO-APPLICANT'S NAME TO BE EMBOSSED ON VISA CARD: (19 CHARACTERS MAXIMUM) |
| Pledge
of Shares (must be signed in order to issue card) By signing below, you pledge to us, Earthmover Credit Union, and grant to us security interest in all of your shareholdings with us including paid shares and future payments on shares, to secure your credit card account with us. You authorized us to apply these shareholdings to pay any amounts due on the account or under this agreement if you should default. Collateral securing other loans with the credit union will also secure this loan. |
| Signature X___________________________ |
| Co-Applicants Signature X_________________________ |
Please provide all
of the requested information. When you have completed the form, press
the "Send Application" button to send your application to Earthmover Credit
Union for processing. The data will be transferred using our Secure Server.
If you do not have an HTTPS compatible browser, you may simply print this
form and fax it to
PO Box 2937
Aurora, IL 60507
Attn: Loan Department
Married applicants may apply for individual credit. Complete spousal information only if you are a resident of a community property state (CA, AZ, ID, NV, WI, LA, WA, NM, TX) or if you are relying on income or applying for joint credit with a spouse. Indicate marital status if applying for secured credit or residing in a community property state.
Income from alimony/child support or separate maintenance income need not be revealed if you do not wish to have the credit union consider as a basis for repaying this obligation.
If you are relying on income from alimony, child support or separate maintenance, complete the CO-Applicant section to the extent possible about the person on whose payments you are relying.
