Credit Card Application | CSD Credit Union

* Indicates Required

Card Information

What type of card are you applying for? *

Individual Individual with Authorized User Joint

Application Type is required

Credit Limit Requested *

Tell us about you

First Name *

Last Name *

Date of Birth *

Social Security Number *

Primary Phone *

Work Phone *

Email *

Where do you live?

Address *

Address Line 2

City *

State *

Zip *

Do you have monthly rent or a mortgage? *

Yes No

Whether you owe monthly payments is required

What is your monthly payment?

Employment Information

Employer Name*

Gross monthly salary*

Joint Applicant Information

Authorized User Information

We also need information about your Joint Applicant the Authorized User! The next few pages (with "Joint ApplicantAuthorized User Information" at the top) ask questions about your Joint Applicantthe Authorized User.

Tell us about you

First Name *

Last Name *

Date of Birth *

Social Security Number *

Primary Phone *

Work Phone *

Email *

Joint Applicant Information

Authorized User Information

Where do you live?

Address *

Address Line 2

City *

State *

Zip *

Do you have monthly rent or a mortgage? *

Yes No

Whether you owe monthly payments is required

What is your monthly payment?

Joint Applicant Information

Authorized User Information

Employment Information

Employer Name*

Gross monthly salary*

Please provide a reference

Examples of valid references: a relative, a colleague, a supervisor, or a community leader who knows you well.

If your reference is a relative, it must be a relative not living with you.

Reference Name *

Reference Phone Number *

Other Responsibilities

Are you liable for alimony, child support or maintenance programs? *

Yes No

Child Support Status is required

What is the monthly payment? *

Agreement

I/We agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Disclosure, Funds availability Policy Disclosure, if applicable, and to any amendment the Credit Union makes from time to time which are incorporated herein. I/We acknowledge receipt of a copy of the agreements and disclosures applicable to the accounts and services requested herein. If an access card or EFT service is requested and provided, I/we agree to the terms of and acknowledge receipt of the Electronic Fund Transfers Agreement and Disclosure. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

Primary Applicant Date *

Joint Applicant Date *

Routing # 301080774