Joint Membership or Account Opening - BrightView Federal Credit Union

Account Type(Required)

Savings (Required)

Checking

Please select each account that you wish to open.

I will pay the $5.00 initial deposit for the savings through:(Required)

Online Using My Debit Card (a $4.95 processing fee will apply)

Bringing Cash to a Brightview Branch

A $5.00 initial deposit is required before the savings can be opened. No deposit is required for the checking. If the deposit is being paid online, a representative will reach out to you to take the deposit over the phone.

Debit Card Number(Required)

Only enter this information if you authorize Brightview Credit Union to charge debit card for $5.00 initial deposit (a $4.95 processing fee will apply).

Expiration Date(Required)

CVV Code(Required)

Zip Code(Required)

Primary Member's Name(Required)

First Middle Last Suffix

Date of Birth(Required)

Phone(Required)

Email(Required)

Enter Email Confirm Email

Employer / Main Source of Income(Required)

Primary Member's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Social Security Number(Required)

Driver's License / Identification Number(Required)

State Issued(Required)

Expiration Date(Required)

Photo Identification Upload(Required)

Max. file size: 400 MB.

Must be a government issued form of identification with a clear photo. Reproductions not accepted.

Additional Identification Upload(Required)

Max. file size: 400 MB.

Secondary Government Identification, Social Security Card, Birth Certificate, Credit Card (Not Debit)

Joint Member's Name(Required)

First Middle Last Suffix

Joint Member's Date of Birth(Required)

Joint Member's Phone(Required)

Joint Member's Email(Required)

Enter Email Confirm Email

Joint Member's Employer / Main Source of Income(Required)

Joint Member's Start Date

Please enter the date that the form of income listed began.

Joint Member's Monthly Gross Income

Joint Member's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Joint Member's Social Security Number(Required)

Joint Member's Driver's License / Identification Number(Required)

Joint Member's ID State Issued(Required)

Joint Member's ID Expiration Date(Required)

Joint Member's Photo Identification Upload(Required)

Max. file size: 400 MB.

Must be a government issued form of identification with a clear photo. Reproductions not accepted.

Joint Member's Additional Identification Upload(Required)

Max. file size: 400 MB.

Secondary Government Identification, Social Security Card, Birth Certificate, Credit Card (Not Debit)

Payable Upon Death's Name(Required)

First Last

The Payable Upon Death (POD) will be the beneficiary of any account selected above.

Payable Upon Death's Date of Birth(Required)

Payable Upon Death's Social Security Number(Required)

Additional Services

Electronic Statements

Automatic Deposits from another Financial Institution

Debit Card (Only for Checking)

Overdraft Protection (Only for Checking) - Transfer to checking if available in savings (Fee per transaction)

Courtesy Pay (Only for Checking) - If no funds are available, overdraw account to cover transactions (Fee per transaction)

If an additional service is unchecked, we will opt you out of that service. You will have to reach out to the credit union to reactivate that service in the future.

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Primary Account Holder's Printed Name(Required)

First Last

By entering your name here, you agree to the statement in the TIN Certification and Backup Withholding Information section and the Authorization section.

Joint Account Holder's Printed Name(Required)

First Last

By entering your name here, you agree to the statement in the TIN Certification and Backup Withholding Information section and the Authorization section.

Today's Date(Required)

This field is for validation purposes and should be left unchanged.

Joint Ownership Membership or Account

Company

Important Disclosures

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