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An Arizona Community Development Financial Institution
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Membership/Account Application

This is a secure application.

 

The type of Account I want to open:

All members must open and maintain a $25.00 Savings account.

Membership Eligibility

   
I am eligible for membership by: Choose only one of the following choices listed below for eligibility. (Click here to see our eligibility requirements)

Primary Account Owner

     
Last Name First Name
Email Address Date of Birth
Residence Address: (No PO Boxes, however you may use a PO Box for your mailing address)
Address Line 1 Address Line 2
City State
Zip    
 
Phone Numbers: (Be sure to include all area codes)
Home Phone Work Phone
Cell Phone    
       
Identification needed – you must have a social security number or tax payer ID to apply:
Social Security # Tax ID #
(If Applicable)
       
A secondary form of ID is required to meet US Patriot Act regulations. You will need to supply us with copy of this ID within 30 days of opening your account or your account may be subject to closure:
Drivers License # State
Other ID
Other ID Number    
Mother's Maiden Name    
       
Mailing Address (if different from residence - can be PO Box)
Street Address Apt #
City State
Zip    

Joint Account Owner      
Last Name First Name
Email Address Date of Birth
Residence Address: (No PO Boxes)
Address Line 1 Address Line 2
City State
Zip    
       
Home Phone Work Phone
Cell Phone    
       
Social Security # Tax ID #
(If Applicable)
Drivers License # State
Other ID
Mother's Maiden Name    

Initial Deposit and Payment Method
This information is secured by our SSL Certificate
Amount: Minimum Balances:
Savings - $25.00
Money Market - $1000.00
Student checking - $100.00
Method  

Credit Card/Debit Card
(Note: there is a $15 fee to process your credit card or debit card transaction)

Card Type Card Number
Expiration Date Credit Card CVV Code
Name on Card    
Billing Address City
State Zip
       
My Current MariSol Account (if applicable)
Account # Account Type
       
Make Deposit At Branch (Click Here for branch location information)
     
       
Send a check:      

MariSol Federal Credit Union
PO Box 20525
Phoenix, AZ 85036

 

Electronic Signature:

Please click here for a full copy of your Truth-In-Savings Disclosure and Account Terms and Conditions.

Please fill in your full name to acknowledge you have read and accepted these terms and conditions:

First Name: - Last Name:

How did you hear about us?
Other (explain):
 

 

Maricopa County Payroll Form

This form is to be used for Maricopa County employees payroll to the credit union.
Please print form, complete and return to the credit union for processing. New payroll can take up to 3 pay periods to start. Changes can take at least 2 pay periods. Any questions about completing the form please contact Member Services at 602-252-6831

Click here to download.

 

 


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