Member Application & Agreement

 
Open a new membership and account(s)
 
I already have a membership and need to add an account to it
 
To open a new membership, checking, or savings account please fill the form below in its entirety.
 

Member Information

This application cannot be used to open a business membership.

*First Name:
Middle Initial:
*Last Name:
*SSN/TIN:
*Date of Birth:
*Street Address:
*City:
*State:
*Zip:
*Identification Type:
*ID #
*State of Issue
*Expiration Date
*Home Phone:
*Work Phone:
*Cell Phone:
*I prefer to be contacted at:
*I qualify for membership in this Credit Union because:
 
Other
Click here for a list of ways to qualify for a membership
*Email Address:
 

Ownership of Account

Select one ownership type. The ownership type specified on this document will remain the same for all accounts listed below. To specify different ownership types or beneficiaries please call us at 1-800-676-2541.

  1. Individual
  2. Joint with Survivorship (and not as tenants in common)
 

What type of account would you like to open?

 
New Membership and Regular Savings account
 

Share Savings Accounts

(Click here to learn more about IAACU's Savings options)
Additional or Secondary Savings
Share Certificate of Deposit
Money Market ($1,000 minimum balance)
 

Share Draft Checking Accounts

(Click here to learn more about IAACU's Checking Account options)
Warning: Checking account products require a physical signature. IAACU will follow up upon receipt to have you sign a signature card and order checks.
Classic Checking w/Overdraft Protection from .1 savings
Dollars & Sense Checking w/Overdraft Protection from .1 savings
Platinum Checking w/Overdraft Protection from .1 savings - (Direct Deposit Required)
I would like an ATM/debit card with my new checking account.
 
Other instructions regarding opening your account. (ex. Best Time/Place to call etc...)
 

Signatures & Certifications

CERTIFICATION: Under penalties of perjury, I certify(1)that the number shown on this form is my correct tax payer Identification number, (2) that I am not subject to backup Withholding either because I have not been notified that I am subject to backup Withholding as a result of failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup Withholding and (3) that I am a U.S. person (including a U.S. resident alien).

INSTRUCTION: If you have been notified by the IRS that you are currently subject to backup withholding because of under reporting interest or dividends on your tax return, you cannot use this form to open an account. Please contact us at 1-800-676-2541 so we can get you the proper documentation to open an account.

SIGNATURES: BY CLICKING SUBMIT YOU AND ANY JOINT OWNER LISTED AGREE(S) TO THE TERMS STATED ON THE MEMBER ACCOUNT AGREEMENT (Available by clicking here) GOVERNING THE ACCOUNT TYPE AND OWNERSHIP SELECTED ABOVE, and acknowledges receipt of at least one copy OF IAACU'S TERMS AND CONDITIONS (Available by clicking here) on the date stated above. THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE YOUR CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATIONS REQUIRED TO AVOID BACKUP WITHHOLDING.

PLEASE NOTE: Per our Terms and Conditions, when you apply for an account you agree that we may verify your credit, employment history, and identification by any necessary means, including the preparation of a credit report by a credit reporting agency.

PROXY: By submitting this form, member agrees to the terms of the proxy in the MEMBER ACCOUNT AGREEMENT. To opt out of the proxy terms, please contact our service center at 1-800-676-2541.

Unless checked , I agree to receive my monthly statement and other information electronically from IAA Credit Union. I will no longer receive a paper statement in the mail. Computer requirements available upon request.
 

CONSENT TO THE USE ELECTRONIC RECORDS, SIGNATURES AND DISCLOSURES: Underlying law requires that you first consent to the use of electronic signatures and electronic records before you enter into this account agreement Please [CLICK HERE TO REVIEW THIS AGREEMENT] and read the information carefully.

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 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.

I/We agree to the terms of the electronic signatures agreement.