Instant Cash and Check Card Application

To Apply:
   1. Complete, print, and sign application.
   2. Return your application to Capital Credit Union, PO Box 2096, Bismarck, ND 58502.
Name:
Address:
City, State, Zip:
Account #:
SSN:
Employer:
Joint Owner Name:
SSN:
Employer:

If this application if approved and a card(s) is issued, the undersigned applicant(s) by signing, using or permitting another to use the card(s) agree(s) that the applicant(s) will be bound by the terms and conditions accompanying the card(s) all amendments.

If you don't meet the necessary requirements to receive an Instant Cash & Check Card, you will receive an Instant Cash Card.

The Instant Cash & Check Card and Instant Cash Card have no monthly fee associated with them.
 

_________________________________________________ _______________
Applicant's Signature                                                     Date

_________________________________________________ _______________
Co-Applicant's Signature                                                Date


FOR CREDIT UNION USE ONLY

P.A.N.
D.D.L.
P.O.S. Daily $ Limit
Type of Card: Instant Cash Card
  Instant Cash & Check




 

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