Introduction

This process will take about 7 minutes and there are two (2) steps:

• Applicant Info
• Account Info

You will need the following items:

• Driver's license or State ID
• Previous home address (if you have lived at your home address less than 2 years)
• U.S. Social Security number

All applicants must be at least 18 years of age and must be U.S. citizens to apply. Minors, resident aliens and non-resident aliens may apply by contacting the financial institution. For your protection, the system will automatically log you off if there is no activity for 1 hour.

Do not use your browser's BACK or FORWARD buttons when using this online application. Doing so may cause unexpected results.

E-Sign Act Disclosure and Consent

Before proceeding you must confirm that you have read and agree to the terms of the Electronic Signature Act Disclosure available at the link below.

E-Sign Act Disclosure

• *
  I/we confirm that I have read and agree to the terms of the E-SIGN Act Disclosure above. I also agree that the Internet access device(s) I/we will use to receive the related legal disclosures, agreements, online account signature form and the instructions meet(s) the system requirements described in the disclosure presented above; and I/we consent to receiving the related legal disclosures, agreements, online account signature form and the instructions electronically. You must agree to the E-Sign Act Disclosure

Eligibility

Our field of membership includes: persons who live, work, worship, volunteer, attend school, businesses and other legal entities located in the following counties; Comanche, Greer, Harmon, Jackson, Kiowa, Tillman, Beckham, Caddo, Custer, Roger Mills, Washita in Oklahoma and Wilbarger County in Vernon, Texas, along with members of their immediate families.

US Citizen

You must be a US citizen to open an account online. Non-US citizens should contact your nearest branch location to open an account.

• *
  I/We verify that I am a U.S. CitizenYou must verify that you're a U.S. Citizen

Disclosures

Please review the account disclosures and agreements by clicking on the links below and indicate whether or not you agree and consent, or disagree. You have the option to print these disclosures and retain them for your records.

• Funds Availability Policy Disclosure
• Check 21 Disclosure Notice
• Electronic Funds Disclosure
• Membership and Account Agreement
• Truth-in-Savings Certificates
• Privacy Policy
• Truth-In Savings Disclosure

• *
  I/We confirm that I/we have read and agree to the related disclosures above. I/we also agree that the Internet access device(s) I/we will use to receive the related legal disclosures, agreements, online account signature form and the instructions meet(s) the system requirements described in the disclosures aforementioned; and I/we consent to receiving the related legal disclosures, agreements, online account signature form and the instructions electronically.You must agree to the above disclosures

USA Patriot Act Notice

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.

Applicant Information

Personal Information

• * Will this be a joint account?
  Yes No
• Title
  Dr. Mr. Ms. Mrs. Miss
• * Name
• Suffix
  Jr. Sr. I II III IV V VI VII VIII IX
• * Social Security Number
• * Date of Birth
• * Email
• * Verify Email Address
• Employer
• Occupation
• * Mother's Maiden Name

Home Address

• * Address
• * City
• * State
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• * Zip
• * Home Phone
• Business/Daytime Phone
• Cell Phone
• * How long have you lived there?

Previous Address

• Address
• City
• State
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip

Mailing Address

• Is mailing address the same as your home address?
  Yes No

• * Mailing Address If different than above
• * City
• * State
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• * Zip

License or State-Issued ID Information

• Do you have a valid driver's license or state-issued ID?
  Yes No

• * License Number
• * State
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Date Issued
• Expiration Date

Passport Information (Optional)

• Passport Number
• Expiration Date

Account Type

•  
  Simply Free Checking
•  
  Simply Free Business Checking
•  
  50 Plus Checking
•  
  VIP Checking
•  
  Platinum Checking
•  
  Business Checking

Account Services

•  
  Payroll Deduction/Direct Deposit
•  
  Audio Response
•  
  Overdraft Protection
•  
  ATM Card
•  
  Debit Card
•  
  PC Access/Internet Banking

TIN Certification & Backup Withholding Information

Under penalties of perjury, I certify that:

Authorization

By submitting the form, I/we agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Disclosure, Funds Availability Policy Disclosure, if applicable, 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 agreements and disclosures applicable to the accounts and services requested herein. If an access card or EFT service is requested and provided, I/we agree to the terms of and acknowledge receipt of the Electronic Fund Transfers Agreement and Disclosure. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.