Kids Club Account Application

Child's Name *

First Name

Last Name

Date of Birth

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Parent's Name *

First Name

Last Name

Date of Birth

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

(###)

###

####

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 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 You for Your name, address, date of birth, and other information that will allow Us to identify You. We may also ask to see Your driver’s license or other identifying documents. You hereby apply for membership with WesTex Community Credit Union. You warrant the truth of the information contained in Your application for membership and/or in subsequent representations to Us. You realize that such information will be relied upon by Us in determining Your membership eligibility. You hereby authorize Us, Our employees, and agents to investigate and verify any information provided to Us by You, By signing below, You agree to be bound by the terms and conditions found within your application for membership and to the bylaws, rules and regulations of WesTex Community Credit Union in effect from time to time. You further acknowledge receiving a copy of the “Agreements and Disclosure” related to Your Account(s) and You agree to be bound by the terms and conditions found therein. If Your application for membership is a joint application, any liability created by the use of Your account is joint and several. You authorize any person, association, firm, corporation, or personnel office to furnish information concerning your affairs upon Our request, including, but limited to, providing credit and employment history information.

I Acknowledge