ATM/Debit Card Application * Required Fields ATM/Debit PolicyAll ATM Deposits are unlimited and freeAll transaction using POS(point of sale) and Visa(debit) purchases are freeSix free withdrawals or transfers per month at ATMsThe seventh and subsequent withdrawal from ATMs will cost $1.00 each and will be deducted from your account.A 1% international service fee will be added to and listed separately on all transactions completed outside the United StatesNever tell anyone your PIN(Personal Identification Number). Never write your PIN on your card. Never keep your PIN with your ATM CardCard Replacement Fee (see ATM/Debit Replacement Fee under Our Rates and Services Charges. Applicant Account Number: Name: Street Address: Apt.: City: State: Select... AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code: Phone (best contact): Co-Applicant Name: Address Same as Applicant: Same Address Street Address: Apt.: City: State: Select... AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code: Phone (best contact): I/we authorize the credit union to perform a credit investigation, and I/we agree to be bound by all terms and conditions governing the use of the card as outlined in the ATM/Debit Policy and in the Electronic Funds Transfer Service Disclosuree that I/we will receive upon approval. I/we also understand that the credit union requires a signed application before any cards are ordered. Security Code: Security Code Go to main navigation