ISRAEL METHCOMM FEDERAL CREDIT UNION

Membership Application

TIN CERTIFICATION AND BACKUP WITHHOLDING INFORMATION
MEMBER APPLICATION AND OWNERSHIP INFORMATION
ACCOUNT OWNERSHIP
BENEFICIARY DESIGNATIONS
AUTHORIZATION
By signing below, I/we certify that the information on this account card (front and back) is complete, and I/we agree to the terms and conditions of the Share Account Agreement on the reverse side and the Truth in Savings Disclosures (Rate and Fee Schedule) and to any amendment the Credit Union makes from time to time which are incorporated herein. I/we acknowledge receipt of a copy of the Agreement and Disclosures. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding