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DESCRIPTION
CAP COM Federal Credit Union's School Banking Brochure.
Citation preview
Ben
efi
ciary
Desig
natio
n – P
ayab
le o
n D
eath
All living joint owners/m
embers on Account supersede beneficiaries.
Beneficiary/Payee
Social Security N
umber
Address
City
State Zip Code
Date of Birth
Beneficiary/Payee
Social Security N
umber
Address
City
State Zip Code
Date of Birth
•I hereby apply for m
embership at CAP CO
M FCU. I agree to conform
to its laws and am
endments thereof and subscribe for at least one share. I also agree to the term
s and conditions of any account that I have at the Credit Union, now
or in the future and agree that the terms and conditions m
ay change from tim
e to time.
•Statutory Lien N
otice – Except as otherwise provided by federal law
, CAP COM
FCU has the right to impress and enforce a statutory lien against a m
ember’s shares and
dividends in the event the mem
ber fails to satisfy a financial obligation to the Credit Union. The Credit Union has the authority to enforce this statutory lien right without
further notice to the mem
ber. A mem
ber’s financial obligations include, but are not limited to, outstanding loan balances, N
SF (insufficient funds) checks and related fees.•
If more than one beneficiary is nam
ed, proceeds will be equally distributed. The nam
ed beneficiaries can only be changed by written authorization signed by all account
owners.
•M
y signature below is evidence that everything stated is correct to the best of m
y knowledge. M
y signature also authorizes CAP COM
FCU to obtain a consumer credit
report in connection with this process and for any update, renew
al, or extension of credit received; and at my request, the Credit Union w
ill supply me w
ith the name and
address of any credit bureau from w
hich it will receive, or has received, a consum
er report on me. I am
aware that com
pletion of this mem
bership application is not to be considered as an application for credit.
•Agreem
ent: CAP COM
FCU is hereby authorized to recognize any of the signatures subscribed hereto in the payment of funds or the transaction of any business for this
account. The joint owners of this account hereby agree w
ith each other and with CAP CO
M FCU that all sum
s now paid in on shares, or heretofore or hereafter paid on
shares by any or all of the joint owners to their credit as such joint ow
ners with all accum
ulation thereon, are and shall be owned by them
jointly, with the right of
survivorship and be subject to the withdraw
al or receipt of any of them, and paym
ent to any of them or the survivor or survivors shall be valid and discharge CAP CO
M
FCU from any liability for such paym
ent.•
You have read the agreement for each service for w
hich you have applied. By signing below you acknow
ledge receipt and agree to be bound by the terms of the
agreement for each service checked on the front of this application.
The Internal Revenue Service does not require your consent to any provisions of this document other than the certification required to avoid backup w
ithholding.
Under penalties of perjury, I certify: (1) that the num
ber shown on this form
is my correct Taxpayer Identification num
ber, (2) that I am N
OT subject
to backup withholding (either because I have not been notified that I am
subject to backup withholding as a result of failure to report all interest or
dividends, or the Internal Revenue Service has notified me that I am
no longer subject to backup withholding); and (3) that I am
a U.S. person (including a U.S. Resident A
lien).
Youth’s Nam
e/Signature: Joint O
wner’s N
ame:
Join
t Ow
ner’s Sig
natu
re: (m
ust be notarized or witnessed by a CAP CO
M Em
ployee)(N
ote: any future products or services established on this account are the responsibility of all parties. We require a youth’s account to be opened w
ith a joint owner at least 18
years of age.) TO
OPEN
/CH
AN
GE A
N A
CC
OU
NT, A
T CA
P CO
M FC
U, Y
OU
R SIG
NA
TUR
E MU
ST BE N
OTA
RIZED
:The above signature w
as notarized in the State of ________________County of ___________________this ____Day of ___________, Year ________. Before m
e personally came to m
e known and know
n to me to be the individual described in and w
ho executed the attached instrument, and he/she duly
acknowledged that he/she executed the sam
e.N
OTA
RY PU
BLIC
:
TO O
PEN/C
HA
NG
E AN
AC
CO
UN
T, AT C
AP C
OM
FCU
, YO
UR
SIGN
ATU
RE M
UST B
E NO
TAR
IZED:
The above signature was notarized in the State of ________________County of ___________________this ____Day of ___________, Year ________.
Before me personally cam
e to me know
n and known to m
e to be the individual described in and who executed the attached instrum
ent, and he/she duly acknow
ledged that he/she executed the same.
NO
TARY
PUB
LIC:
Offi
ce Use O
nly
Credit pulled O
FAC PreApp
TIS Disc Chex ID copied
Approved Date
Account Num
ber
Phone Numbers & Website CCFCU Phone (518) 458-2195 CCFCU Toll Free (800) 468-5500 CCFCU Fax (518) 458-2261 Touch-24 (518) 458-8986 Touch-24 Toll Free (800) 634-2340 Connect-24 & Mobile Banking www.capcomfcu.org
Main Office & Mailing Address 18ComputerDriveEast•Albany,NY12205
Already a CAP COM Member? Enroll in our School Banking Program! Call (518) 458-2195, send an e-mail to schoolbanking@capcomfcu.org or stop in any location and tell us your participating school’s name.
Not a CAP COM Member? It’s easy to get a School Banker started with a new YouthAccount! •CompleteaYouthMembershipApplication. •Call(518)458-2195orsendane-mailto schoolbanking@capcomfcu.org. •Visitwww.capcomfcu.org. •Askatanybranchlocation.
Albany • Brunswick • Clifton Park Cohoes • Colonie • Glenmont • Glens Falls
Latham • Niskayuna • North Greenbush
REV 9/2011
CAP COM FCU is federally insured by the National Credit Union Administration.
Mortgage Solutions
www.capcomfcu.orgTo sign up your school
call Carie Sala today at (518) 458-2195 ext. 3671 or send an e-mail to csala@capcomfcu.org.
I hav
e in
clud
ed m
y $1
init
ial d
epos
it.
Elig
ibili
ty
Sch
ool B
anki
ng P
rogr
am a
t: (s
choo
l nam
e)
Gra
de
O
r
E
mpl
oyer
R
elat
ive
Nam
e of
Rel
ativ
e___
____
____
____
____
____
____
____
Rel
atio
nshi
p___
____
____
____
____
____
___
O
r L
ives
, wor
ks, w
orsh
ips
or a
ttend
s sc
hool
in th
e St
ate
of N
ew Y
ork,
City
of:
(ple
ase
circle
one
)
Al
bany
C
ohoe
s
Mec
hani
cvill
e
Rens
sela
er
Sch
enec
tady
Tr
oy
Wat
ervl
iet
Tow
n of
Gre
en Is
land
Last
Nam
e
Fi
rst N
ame
Mid
dle
Nam
e
Addr
ess
City
St
ate
Z
ip C
ode
Soci
al S
ecu
rity
Nu
mb
er
Dat
e o
f B
irth
Hom
e Ph
one
Num
ber
E-m
ail A
ddre
ss
M
othe
r’s m
aide
n na
me
or w
ord
to b
e us
ed a
s a“
lock
war
ning
/sec
urity
” co
de
T-Sh
irt S
ize (C
ircle
onl
y on
e):
Yout
h: S
M
L
Adu
lt: S
Jo
int
Mem
ber
(Mus
t be
at
leas
t 18
yea
rs o
ld.)
I
hav
e in
clud
ed a
cop
y of
a v
alid
ID. A
Join
t Mem
ber i
s an
indi
vidu
al w
ho h
as:
est
ablis
hed
mem
bers
hip
with
CAP
CO
M F
CU a
nd, i
f qua
lified
, is
elig
ible
for a
ll pr
oduc
ts a
nd s
ervi
ces.
elig
ibili
ty:
em
ploy
er
rela
tive
(nam
e)
(re
latio
nshi
p)
liv
es, w
orks
, wor
ship
s or
atte
nds
scho
ol in
the
Stat
e of
New
Yor
k, C
ity o
f: (p
leas
e cir
cle o
ne)
Alba
ny
Coho
es
Mec
hani
cvill
e Re
nsse
laer
Sc
hene
ctad
y
Troy
W
ater
vlie
t To
wn
of G
reen
Isla
nd La
st N
ame
Firs
t Nam
e
M
iddl
e N
ame
Addr
ess
City
St
ate
Z
ip C
ode
O
wn
R
ent
Liv
e w
ith o
ther
s H
ow lo
ng?
Soci
al S
ecu
rity
Nu
mb
er
Dat
e o
f B
irth
Hom
e Ph
one
Num
ber
Wor
k Ph
one
Num
ber
Dri
ver’
s Li
cen
se N
um
ber
*
Stat
e*
Is
sue
Dat
e*
Ex
pir
atio
n D
ate*
E-m
ail A
ddre
ss:
Empl
oyer
Nam
e
Empl
oyer
Add
ress
Ci
ty
St
ate
Zip
Code
I aut
horiz
e CA
P CO
M F
CU to
est
ablis
h or
add
the
follo
win
g ac
coun
ts/s
ervi
ces:
H
olid
ay C
lub
M
embe
rs C
hoice
Clu
b
Mon
ey M
anag
ers
Club
C
olle
ge S
avin
gs C
lub
N
ame
your
ow
n clu
b
Yout
h M
embe
rshi
p A
pplic
atio
n
Plea
se c
ompl
ete
both
pag
es
Page
1 o
f 2
REV
9/20
11
*Req
uire
d to
pro
cess
app
licat
ion.
$chool BankingBecome a School Banking
partner today!
We’re teaching kids at dozens of local schools how to save!
Madison and Jeffrey Clermont, of Watervliet Elementary.
School Banking helps kids learn to save by making deposits at school. We partner with more than 40 local schools to offer special visits, online account access and more!
It’s easy to get started! Complete the attached application or see the back panel to learn how to open up an account or sign your school up today!
School Banking features
• Switch Kits to get you started. We’ll transfer and close your old account for you!
• Kids earn up to $70 per year* with our Great Grades and Reading Programs.
• Special-rate CertifiKIDs** in 18- and 36-month terms let your child’s money grow faster!
• Open an account with just $1. Make weekly deposits at your school or any CAP COM location! The more you save, the more you can win with fun incentives.
• FREE Coin Machines! Turn change into cash at any CAP COM branch!
*See website or ask an associate for additional details, current rates and disclosure information. ** Certificate requires membership in the Credit Union. Certificate dividends are compounded daily and posted quarterly. A penalty may be imposed for early withdrawals. Fees and other conditions may reduce the earnings on some accounts. Other rates and terms may apply based on product/service relationship with the Credit Union.
Ben
efi
ciary
Desig
natio
n – P
ayab
le o
n D
eath
All living joint owners/m
embers on Account supersede beneficiaries.
Beneficiary/Payee
Social Security N
umber
Address
City
State Zip Code
Date of Birth
Beneficiary/Payee
Social Security N
umber
Address
City
State Zip Code
Date of Birth
•I hereby apply for m
embership at CAP CO
M FCU. I agree to conform
to its laws and am
endments thereof and subscribe for at least one share. I also agree to the term
s and conditions of any account that I have at the Credit Union, now
or in the future and agree that the terms and conditions m
ay change from tim
e to time.
•Statutory Lien N
otice – Except as otherwise provided by federal law
, CAP COM
FCU has the right to impress and enforce a statutory lien against a m
ember’s shares and
dividends in the event the mem
ber fails to satisfy a financial obligation to the Credit Union. The Credit Union has the authority to enforce this statutory lien right without
further notice to the mem
ber. A mem
ber’s financial obligations include, but are not limited to, outstanding loan balances, N
SF (insufficient funds) checks and related fees.•
If more than one beneficiary is nam
ed, proceeds will be equally distributed. The nam
ed beneficiaries can only be changed by written authorization signed by all account
owners.
•M
y signature below is evidence that everything stated is correct to the best of m
y knowledge. M
y signature also authorizes CAP COM
FCU to obtain a consumer credit
report in connection with this process and for any update, renew
al, or extension of credit received; and at my request, the Credit Union w
ill supply me w
ith the name and
address of any credit bureau from w
hich it will receive, or has received, a consum
er report on me. I am
aware that com
pletion of this mem
bership application is not to be considered as an application for credit.
•Agreem
ent: CAP COM
FCU is hereby authorized to recognize any of the signatures subscribed hereto in the payment of funds or the transaction of any business for this
account. The joint owners of this account hereby agree w
ith each other and with CAP CO
M FCU that all sum
s now paid in on shares, or heretofore or hereafter paid on
shares by any or all of the joint owners to their credit as such joint ow
ners with all accum
ulation thereon, are and shall be owned by them
jointly, with the right of
survivorship and be subject to the withdraw
al or receipt of any of them, and paym
ent to any of them or the survivor or survivors shall be valid and discharge CAP CO
M
FCU from any liability for such paym
ent.•
You have read the agreement for each service for w
hich you have applied. By signing below you acknow
ledge receipt and agree to be bound by the terms of the
agreement for each service checked on the front of this application.
The Internal Revenue Service does not require your consent to any provisions of this document other than the certification required to avoid backup w
ithholding.
Under penalties of perjury, I certify: (1) that the num
ber shown on this form
is my correct Taxpayer Identification num
ber, (2) that I am N
OT subject
to backup withholding (either because I have not been notified that I am
subject to backup withholding as a result of failure to report all interest or
dividends, or the Internal Revenue Service has notified me that I am
no longer subject to backup withholding); and (3) that I am
a U.S. person (including a U.S. Resident A
lien).
Youth’s Nam
e/Signature: Joint O
wner’s N
ame:
Join
t Ow
ner’s Sig
natu
re: (m
ust be notarized or witnessed by a CAP CO
M Em
ployee)(N
ote: any future products or services established on this account are the responsibility of all parties. We require a youth’s account to be opened w
ith a joint owner at least 18
years of age.) TO
OPEN
/CH
AN
GE A
N A
CC
OU
NT, A
T CA
P CO
M FC
U, Y
OU
R SIG
NA
TUR
E MU
ST BE N
OTA
RIZED
:The above signature w
as notarized in the State of ________________County of ___________________this ____Day of ___________, Year ________. Before m
e personally came to m
e known and know
n to me to be the individual described in and w
ho executed the attached instrument, and he/she duly
acknowledged that he/she executed the sam
e.N
OTA
RY PU
BLIC
:
TO O
PEN/C
HA
NG
E AN
AC
CO
UN
T, AT C
AP C
OM
FCU
, YO
UR
SIGN
ATU
RE M
UST B
E NO
TAR
IZED:
The above signature was notarized in the State of ________________County of ___________________this ____Day of ___________, Year ________.
Before me personally cam
e to me know
n and known to m
e to be the individual described in and who executed the attached instrum
ent, and he/she duly acknow
ledged that he/she executed the same.
NO
TARY
PUB
LIC:
Offi
ce Use O
nly
Credit pulled O
FAC PreApp
TIS Disc Chex ID copied
Approved Date
Account Num
ber
Phone Numbers & Website CCFCU Phone (518) 458-2195 CCFCU Toll Free (800) 468-5500 CCFCU Fax (518) 458-2261 Touch-24 (518) 458-8986 Touch-24 Toll Free (800) 634-2340 Connect-24 & Mobile Banking www.capcomfcu.org
Main Office & Mailing Address 18ComputerDriveEast•Albany,NY12205
Already a CAP COM Member? Enroll in our School Banking Program! Call (518) 458-2195, send an e-mail to schoolbanking@capcomfcu.org or stop in any location and tell us your participating school’s name.
Not a CAP COM Member? It’s easy to get a School Banker started with a new YouthAccount! •CompleteaYouthMembershipApplication. •Call(518)458-2195orsendane-mailto schoolbanking@capcomfcu.org. •Visitwww.capcomfcu.org. •Askatanybranchlocation.
Albany • Brunswick • Clifton Park Cohoes • Colonie • Glenmont • Glens Falls
Latham • Niskayuna • North Greenbush
REV 9/2011
CAP COM FCU is federally insured by the National Credit Union Administration.
Mortgage Solutions
www.capcomfcu.orgTo sign up your school
call Carie Sala today at (518) 458-2195 ext. 3671 or send an e-mail to csala@capcomfcu.org.
I have included my $1 initial deposit. Eligibility School Banking Program at: (school name) Grade Or Employer Relative Name of Relative_______________________________ Relationship__________________________ Or Lives, works, worships or attends school in the State of New York, City of: (please circle one) Albany Cohoes Mechanicville Rensselaer Schenectady Troy Watervliet Town of Green Island
Last Name First Name Middle Name
Address City State Zip Code
Social Security Number Date of Birth
Home Phone Number
E-mail Address Mother’s maiden name or word to be used as a“lock warning/security” code
T-Shirt Size (Circle only one): Youth: S M L Adult: S
Joint Member (Must be at least 18 years old.) I have included a copy of a valid ID. A Joint Member is an individual who has: established membership with CAP COM FCU and, if qualified, is eligible for all products and services. eligibility: employer relative (name) (relationship) lives, works, worships or attends school in the State of New York, City of: (please circle one) Albany Cohoes Mechanicville Rensselaer Schenectady Troy Watervliet Town of Green Island Last Name First Name Middle Name
Address City State Zip Code
Own Rent Live with others How long?
Social Security Number Date of Birth
Home Phone Number Work Phone Number
Driver’s License Number* State* Issue Date* Expiration Date*
E-mail Address:
Employer Name
Employer Address City State Zip Code
I authorize CAP COM FCU to establish or add the following accounts/services: Holiday Club Members Choice Club Money Managers Club College Savings Club Name your own club
Youth Membership Application
Please complete both pages Page 1 of 2
REV 9/2011
*Required to process application.
$ch
oo
l Ban
kin
gB
ecom
e a Sch
oo
l Ban
kin
g p
artner to
day
!
We’re teach
ing k
ids at d
ozen
s o
f local sch
oo
ls ho
w to
save!
Madison and Jeffrey C
lermont,
of Watervliet Elem
entary.
Scho
ol B
ankin
g helps kids learn to save by
making deposits at school. W
e partner with
more than 40 local schools to offer special
visits, online account access and more!
It’s easy to get started! Com
plete the attached application or see the back panel to learn how
to open up an account or sign your school up today!
Sch
oo
l Ban
kin
g features
•Sw
itch K
its to get you started. We’ll
transfer and close your old account for you!
•K
ids earn
up
to $70 p
er year* with
our Great G
rades and Reading Programs.
•Special-rate C
ertifiK
IDs** in 18- and
36-month term
s let your child’s money
grow faster!
•O
pen
an acco
un
t with
just $1.
Make w
eekly deposits at your school or any C
AP C
OM
location! The more you
save, the more you can w
in with
fun incentives.
•FR
EE Co
in M
achin
es! Turn change into cash at any C
AP C
OM
branch!*See w
ebsite or ask an associate for additional details, current rates and disclosure inform
ation. ** C
ertificate requires mem
bership in the Credit U
nion. Certificate
dividends are compounded daily and posted quarterly. A
penalty m
ay be imposed for early w
ithdrawals. Fees and other conditions
may reduce the earnings on som
e accounts. Other rates and term
s m
ay apply based on product/service relationship with the C
redit U
nion.
Beneficiary Designation – Payable on DeathAll living joint owners/members on Account supersede beneficiaries.
Beneficiary/Payee Social Security Number
Address City State Zip Code Date of Birth
Beneficiary/Payee Social Security Number
Address City State Zip Code Date of Birth
• I hereby apply for membership at CAP COM FCU. I agree to conform to its laws and amendments thereof and subscribe for at least one share. I also agree to the terms and conditions of any account that I have at the Credit Union, now or in the future and agree that the terms and conditions may change from time to time.
• Statutory Lien Notice – Except as otherwise provided by federal law, CAP COM FCU has the right to impress and enforce a statutory lien against a member’s shares and dividends in the event the member fails to satisfy a financial obligation to the Credit Union. The Credit Union has the authority to enforce this statutory lien right without further notice to the member. A member’s financial obligations include, but are not limited to, outstanding loan balances, NSF (insufficient funds) checks and related fees.
• If more than one beneficiary is named, proceeds will be equally distributed. The named beneficiaries can only be changed by written authorization signed by all account owners.
• My signature below is evidence that everything stated is correct to the best of my knowledge. My signature also authorizes CAP COM FCU to obtain a consumer credit report in connection with this process and for any update, renewal, or extension of credit received; and at my request, the Credit Union will supply me with the name and address of any credit bureau from which it will receive, or has received, a consumer report on me. I am aware that completion of this membership application is not to be considered as an application for credit.
• Agreement: CAP COM FCU is hereby authorized to recognize any of the signatures subscribed hereto in the payment of funds or the transaction of any business for this account. The joint owners of this account hereby agree with each other and with CAP COM FCU that all sums now paid in on shares, or heretofore or hereafter paid on shares by any or all of the joint owners to their credit as such joint owners with all accumulation thereon, are and shall be owned by them jointly, with the right of survivorship and be subject to the withdrawal or receipt of any of them, and payment to any of them or the survivor or survivors shall be valid and discharge CAP COM FCU from any liability for such payment.
• You have read the agreement for each service for which you have applied. By signing below you acknowledge receipt and agree to be bound by the terms of the agreement for each service checked on the front of this application.
The Internal Revenue Service does not require your consent to any provisions of this document other than the certification required to avoid backup withholding.
Under penalties of perjury, I certify: (1) that the number shown on this form is my correct Taxpayer Identification number, (2) that I am NOT subject to backup withholding (either because I have not been notified that I am subject to backup withholding as a result of failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding); and (3) that I am a U.S. person (including a U.S. Resident Alien).
Youth’s Name/Signature: Joint Owner’s Name:
Joint Owner’s Signature: (must be notarized or witnessed by a CAP COM Employee)(Note: any future products or services established on this account are the responsibility of all parties. We require a youth’s account to be opened with a joint owner at least 18 years of age.) TO OPEN/CHANGE AN ACCOUNT, AT CAP COM FCU, YOUR SIGNATURE MUST BE NOTARIZED:The above signature was notarized in the State of ________________County of ___________________this ____Day of ___________, Year ________. Before me personally came to me known and known to me to be the individual described in and who executed the attached instrument, and he/she duly acknowledged that he/she executed the same.NOTARY PUBLIC:
TO OPEN/CHANGE AN ACCOUNT, AT CAP COM FCU, YOUR SIGNATURE MUST BE NOTARIZED:The above signature was notarized in the State of ________________County of ___________________this ____Day of ___________, Year ________. Before me personally came to me known and known to me to be the individual described in and who executed the attached instrument, and he/she duly acknowledged that he/she executed the same.NOTARY PUBLIC:
Office Use OnlyCredit pulled OFAC PreApp TIS Disc Chex ID copied Approved Date Account Number
Pho
ne
Nu
mb
ers
& W
ebsi
te
CC
FCU
Pho
ne
(5
18) 4
58-2
195
CC
FCU
Tol
l Fre
e
(800
) 468
-550
0 C
CFC
U F
ax
(5
18) 4
58-2
261
Touc
h-24
(518
) 458
-898
6 To
uch-
24 T
oll F
ree
(800
) 634
-234
0 C
onne
ct-2
4 &
Mob
ile B
anki
ng
w
ww
.cap
com
fcu.
org
Mai
n O
ffice
& M
aili
ng
Ad
dre
ss
18Com
puterDriveEast•Alban
y,NY122
05
Alr
eady a
CA
P C
OM
Mem
ber?
En
roll
in o
ur S
choo
l Ban
king
Pro
gram
!
Cal
l (51
8) 4
58-2
195,
sen
d an
e-m
ail t
o
sch
oo
lban
kin
g@
cap
com
fcu
.org
or
stop
in a
ny
loca
tion
and
tell
us y
our
part
icip
atin
g sc
hool
’s na
me.
Not
a C
AP
CO
M M
em
ber?
It’
s ea
sy t
o ge
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