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Membership Application

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I/We authorize Lanier FCU to open the following accounts:

Owner Information

(Do not use P.O. Box)

Owner Employment Info

Joint Owner Information

(Do not use P.O. Box)

Joint Owner Employment Info

Beneficiaries

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Electronic Submission

Being within the field of membership, I/we hereby apply for membership in the Lanier Federal Credit Union and agree to conform to its bylaws and amendments thereto; subscribe for at least one share; and agree to the conditions printed in this form.

By clicking submit below, I/we agree to be bound by the Lanier FCU's bylaws, and all rules, regulations, terms and conditions governing this account, and all amendments thereto which may be in effect from time to time. A Membership Disclosure information brochure will be provided to me/us. Lanier Federal Credit Union is hereby authorized to recognize any of the signatures subscribed hereto in the payment of funds or the transaction of any business for this account. I/We authorize you to obtain information about me/us from credit reporting sources, and report my/our experience with this account to credit bureaus and others who may inquire about my/our experience with this account. You may also request or use subsequent consumer reports in connection with a review, update, renewal or extension of my/our accounts without additional notice to me/us.

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