Membership and Master Credit Application
BECU 6803 4/2010
Welcome to Boeing Employees' Credit Union (BECU)! Please complete, sign, and return this form to apply for membership at BECU and establish a
Consumer Credit Plan, a program that you, either the applicant or co-applicant, may use to meet your borrowing needs. Please complete this form in ink. If you
have any questions contact a BECU representative at 206-439-5700 or, outside Seattle, 1-800-233-2328.
1. Primary Member Information and Ownership
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: Federal law requires all financial institutions to help the government
fight the funding of terrorism and money laundering activities by obtaining, verifying, and recording information that identifies each person who opens an account.
What this means to you: When you open an account we 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.
PRINT PRIMARY MEMBER NAME
PRIMARY SOCIAL SECURITY/TAX IDENTIFICATION NUMBER
HOME PHONE
( )
WORK PHONE
( )
CELLULAR PHONE
( )
DATE OF BIRTH
MOTHER’S MAIDEN NAME
STREET ADDRESS (REQUIRED)
CITY
STATE/PROVINCE
ZIP/POSTAL CODE COUNTRY
MAILING ADDRESS IF DIFFERENT FROM ABOVE
CITY
STATE/PROVINCE
ZIP/POSTAL CODE COUNTRY
VALID PICTURE ID #
ID TYPE
DATE ISSUED
EXPIR. DATE
STATE & COUNTRY ISSUED
BASIS FOR MEMBERSHIP ELIGIBILITY
EMAIL ADDRESS
2.
Joint Account-holders
Choose one:
Joint Account with Right of Survivorship (JWROS)
Joint Account without Right of Survivorship (JWOROS)
Joint 1 PRINT NAME
SSN/TIN
EMAIL ADDRESS
HOME PHONE
( )
WORK PHONE
( )
CELL PHONE
( )
DATE OF BIRTH
MOTHER’S MAIDEN NAME
VALID PICTURE ID #
DATE ISSUED
EXPIR. DATE
STATE & COUNTRY ISSUED
ID TYPE
STREET ADDRESS (REQUIRED)
CITY
STATE/PROVINCE
ZIP/POSTAL CODE
COUNTRY
DESIGNATED % ONLY FOR
JWOROS