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Daytime Phone
Evening Phone
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Relationship
I am a current member of a special employee group
Altoona-Johnstown Diocese
Air Ground Xpress
ARC FCU
Cove Forge
Garvey Manor
General Cable
Presbyterian Homes
Warnaco
I am current ARC member
Acct. #
I am a registered member of a Catholic parish in Blair/Huntingdon County
Parish Name
How did you hear about ARC Federal Credit Union
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Member Information
First Name
Middle Initial
Last Name
SSN #
Date of Birth
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Driver License #
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JOINT MEMBER INFORMATION
First Name
Middle Initial
Last Name
SSN #
Date of Birth
Address
City
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Zip
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Please enter driver license info or govt. id photo
Driver License #
State
Issue Date
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Government Photo ID#
Type
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TIN CERTIFICATION AND BACKUP WITHHOLDING INFORMATION Under penalties of perjury, I certify that (1) the number shown on this form is my correct taxpayer identification number, and (2) I am not subject to backup withholding either because (a) I am exempt from backup withholding, or (b) I have not been notified by the IRS that I am 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 US 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.
I agree
I have read the following disclosure forms.
Membership and Account Agreement
|
USA Patriot Act
|
Truth in Savings
|
Fee Schedule
I agree
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