North Georgia Credit Union

IMPORTANT INFORMATION REGARDING PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you:

When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We will also ask for a copy of your driver’s license or other identifying documents

CHECKING ACCOUNT APPLICATION

Membership Information


Account # (To be completed by Credit Union)

Member/Applicant

Address

City	State	Zip

Employment

SSN/TIN	E-Mail Address

Date of Birth	Driver's Lic. #

Mother's Maiden Name


Joint Owner/Applicant

Address

City	State	Zip

Employment

SSN/TIN	E-Mail Address

Date of Birth	Driver's Lic. #

Mother's Maiden Name

Overdraft Protection

	I elect to decline Overdraft protection
	I wish to apply for overdraft protection*
	* To apply for overdraft protection, please complete and submit loan application-overdraft protection.

Signatures
	By submitting this application to the Credit Union, I/we promise that everything is correct and authorize the Credit Union to obtain credit reports in connection with this checking account application and for any update. I/we agree that my/our account will be subject to the terms and conditions of all applicable agreements and disclosures that accompany a checking account; and that a photocopy of this application shall be as binding as the original.
	By submitting this application electronically, I/we agree to the same terms that apply to a signed application. If there is a joint owner/applicant on this checking account, that joint owner/applicant has authorized the submission of this application. This electronic submission qualifies as my/our signature.

Once your application is completed, press the SUBMIT button and send it to the credit union electronically.
If you do not wish to submit this form electronically, you can print, sign and return it to the credit union.