North Jersey Federal Credit Union - Checking Account Application

Checking Account Application


Primary Owner

Debit Card	Checking Advantage
ATM Card	Basic Checking

First Name:
Last Name:
Social Security #:
Home Address:
City:
State:
Zip:
E-Mail Address:
Home Phone:
Work Phone:
Cell Phone:
Date of Birth:
Employed By:
Driver License #:
Please Select One:
	Number of Cards: One Two

If selecting two ATM cards; I understand that both cards will be issued in the primary account owner's name.


Joint Owner

First Name:
Last Name:
Social Security #:
Date of Birth:
Home Phone:
Work Phone:
Cell Phone:

To make sure your Personal Identification Number (PIN) is easy to remember, please write any four-digit number in the space given. Please memorize this number. For security purposes, it will not be included with your ATM card. If lost a new number must be applied for. This number will not be kept on file by the credit union.

PIN Number:
	Please use ALL numbers

OVERDRAFT PROTECTION: Should an overdraft occur in my/our Share draft account, I authorize you to transfer funds, if available from my/our account. I understand that if I am approved for a ready cash line of credit all advances will come from my/our line of credit. Up to six transfers per month will be allowed for a nominal fee. After six transfers per month, insufficient fund checks and ACH items will be automatically returned and the existing NSF fee will be accessed.

Accept Decline

Please Check if Applicable

I would like Overdraft Protection. (Please forward information to me)

Please send me info on Payroll Deduction

Please send me information on Direct Deposit

Please print my address on Checks.




Terms and Conditions In order to obtain your signature for authorizing the Credit Union to process this application, you must print, sign and mail this Membership Application to NJFCU, along with your initial $50 deposit and two forms of identification - (e.g. Drivers License, Employee ID, Passport, Social Security Card)





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