Horizon Credit Union



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MEMBERSHIP/ACCOUNT AGREEMENT
I hereby apply for membership in the credit union and agree to conform to the bylaws and any amendments of the credit union, the terms and conditions of the share account and to pay the minimum deposit amount. I also agree to pay any charges or fees which may be required or assessed under such bylaws. Any account opened in more than one name shall be a joint account with rights of survivorship. If I have established a joint account, both owners agree to the terms and conditions of the share account. If I return this application electronically, Horizon Credit Union may ask me to sign a hardcopy of this application at a later date.

All fields in red are required.	PRIMARY ACCOUNT OWNER
First Name:
Initial:
Last Name:
E-mail address:
Address:
City:
State / Zipcode
Social Security Number or Tax ID Number:
Driver's License Number:	State:
Eligibility for Membership:*
Date of Birth:
See Membership eligibility*

	JOINT ACCOUNT OWNER 1
First Name/Initial:
Last Name:
Social Security Number or Tax ID Number:

	JOINT ACCOUNT OWNER 2
First Name/Initial:
Last Name:
Social Security Number or Tax ID Number:

ADDITIONAL SERVICES Check if desired
I am interested in the following services and request the credit union contact me with more information about how to apply.

Share Draft/Checking Account

ATM / Debit Card

Credit Card