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Debit Card Application

Prince Kūhiō

Federal Credit Union

740 Kohou Street, Suite A

Honolulu, HI  96817

Phone: (808) 946-1904

Fax: (808) 845-8650

Email:  pkfcu@hawaiiantel.net

  

VISA CHECK CARD REQUEST

If you do not have a share draft account, this form authorizes the Prince Kuhio Federal Credit Union to establish an account for you. Your signature authorizes the credit union to verify your name with our check guarantee and verification service.

 

Member Account #                              Date

 

Member(s) Information

 

Name Social Security Number

Street

City       State       Zip

DOB Home Phone       Work Phone

ID Type   Expiration   ID #

Mother’s Maiden Name

Email

 

Name Social Security Number

Street

City       State       Zip

DOB Home Phone       Work Phone

ID Type   Expiration   ID #

Mother’s Maiden Name

Email

 

Payable on Death

Name              Relationship

 

I (We) agree to the terms and provisions hereof and of the Truth-in-Savings Disclosure, EFT Disclosure and the Account Agreement and acknowledge a copy of the Rate and Fee Schedule.  All primary and joint member signatures are required and the card will be issued only to names on the account.

 

 

Member Signature

Date

 

 

Joint Owner Signature

Joint Owner Signature

 


 



PRINCE KUHIO FEDERAL CREDIT UNION

|Mission Statement| |Aloha| |About| |Privacy Policy| |Membership| |Savings| |VISA Check Card| |Loans| |Fee Schedule| |Newsletter| |Contact Us| |Directions| |Survey| |Site Map| |Jobs| |Agreement| |Product Survey|