Membership Application

Eligibility
Mid American Credit Union serves residents of the state of Kansas and employees of companies based in Kansas. If you are not sure that you qualify for membership, simply fill out the first section and submit it. We will let you know whether or not you are eligible for membership.

Application
Please provide all of the requested information. When you have completed the application, press the submit button to send it to Mid American Credit Union.


I'm not sure I qualify for membership


Name (F/M/L)
State of Residence
Employer

Please let me know if I qualify by:

My e-mail address (not secure)

Daytime Phone

Fax



Membership Application

Ownership:

Individual Account Yes No

Joint Account Yes No


Account Type:
You must select one or both of the boxes below first, then go to the pull-down menus and make a selection.

Checking

Savings ..

Promo Code:

NOTE: Please check both the"Checking" and "Savings" boxes if opening both a Checking and Savings account.



Primary Owner
Name (F/M/L)
  Social Security No.
Drivers License No.

Drivers License State

Address (Do Not Use
Post Office Box)
City
State
Zip
Phone
Renting
Buying    
Years
Birthdate
Today's Date

Joint Owner Information

Name (F/M/L)
  Social Security No.
Drivers License No.

Drivers License State

Address (Do Not Use
Post Office Box)
City
State
Zip
Phone
Renting
Buying    
Years

Birthdate

Additional Services Desired

I would like a(an):

ATM Card (only available with Basic Membership Savings, Life Insurance Savings and Checking accounts)

Primary owner Yes No

Joint owner Yes No

Both Yes No


VISA Check Card (only available with Checking Accounts)

Primary owner Yes No

Joint owner Yes No

Both Yes No


Agreement

I (we) apply for membership in this credit union, agree to follow its by-laws and amendments and subscribe for at least one share. This membership agreement applies to the accounts indicated. I (we) authorize the credit union to investigate my (our) credit and request that the credit union issue me (us) a PIN (personal identification number) to access the MATT Audio Response System. The credit union will mail a fee schedule, a copy of the terms and conditions applicable to each account applied for, and the Funds Availability, Electronic Fund Transfer and Truth in Savings Disclosures within twenty days.


The USA Patriot Act has paved the way for financial institutions to help prevent fraud, identity theft, and the spread of terrorism. It requires financial institutions to obtain more informations from an individual or legal entity to help establish identity.

NCUA Notice

 

Mid American Credit Union8404 West Kellogg DriveWichita, KS 67209316.722.3921Fax 316.722.0920