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U. S. A. Patriot Act Identification Program

Notification: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means to you: When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driversí license or other identifying documents.

Please provide all the requested information. When you have completed the form, please print it out and fax it to 281.462.3285 for processing. Each will be checked for membership qualification, and verified through TeleCheck. You will receive a Membership Agreement and Master Account Card and Owner's Manual brochure within five business days.

You will be requested to provide a clear copy of your valid Drivers License or Texas State ID. Please read and sign the signature card, and provide a check for at least the minimum required amount for each account requested.

New Account Information
Update Existing Account Information
Have you seen an advertisement for
this account, and if so, where?
Social Security #
How long
  Own Rent
Phone #
Cell #
Email Address
Date of Birth
Driver's License #
ID Expiration Date
Mother's Maiden Name
Job Title
Employer's Address
Employer's City
Employer's State
Employer's Zip
Employer's Phone
Hire Date