WinSouth Credit Union

9 Convenient Locations Serving You in Alabama

9 Convenient Locations Serving You in Alabama

 

Let's Get Started!

Please fill out the fields in the form below. One of our friendly WinSouth Representatives will contact you within one business day to complete the process.

MEMBERSHIP APPLICATION AND OWNERSHIP INFORMATION

 
Credit Union Use Only
  *Member/Owner  
 
  *Address  
  *SSN/TIN
     
  *Driver's Lic. No.
     
  *Driver's Lic. Issue Date
     
  *Driver's Lic. Expire Date
  *Home Phone  

  *Date of Birth
  Cell Phone  

     
  *Email  
     
  Work Phone  
     
  *Employer  
  How would you like to be notified of alerts? (You will only receive a maximum of 4 per month.)
Text Alerts
Email Blast
  Position  
     
  Length of Employment  
     

ACCOUNT TYPE / SERVICES

Please click which services you are interested in.
 
  Share/Savings
  Payroll Deduction/ Direct Deposit
  Share Draft/Checking
  InfoTalk
  Share Certificate/Certificate
  Debit Card
  Money Market
  Online Banking
  Club
  Checks
  Other
       

CUNA MUTUAL GROUP, 1980, 82, 84, 86, 89, 98, 99, 2000, 01, 02, 05, 08, ALL RIGHTS RESERVED

MEMBERSHIP ACCOUNT CARD

TIN CERTIFICATION AND BACKUP WITH HOLDING INFORMATION

By signing below, under penalties of perjury. I certify that: (1) The number shown on this form is my correct taxpayer identification number, (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that lam subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and (3) I am a U.S. person (including a U.S. resident alien)

Certification Instructions: Cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. Cross out item 3 and complete a W-8 BEN if you are not a U.S. person.

AUTHORIZATION

By signing below, I/we agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Rate and Fee Schedule, 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 Agreement 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 Funds Transfer Agreement. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

WinSouth Credit Union reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, you grant full permission to do so.

 
 


*SIGNATURE
Please type name
*DATE   SIGNATURE
Please type Joint Account Holder name
DATE