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VISA CREDIT CARD APPLICATION
VISA Credit Card Application
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Credit Limit Request
Are you currently a member of the credit union?
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Name of Employer
Gross Annual Income
Date of Birth
Do you rent, own a home, or live with parents?
Live With Parents
Monthly Payment For Rent/Mortgage
Terms & Agreement
You agree that everything you have stated in this application is correct to the best of your knowledge. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or state chartered credit unions insured by NCUA.
Credit Card Info
Louise Mills Federal Credit Union - 12 Merrimac Square Merrimac MA 01860 - 978.346.4561 - Routing Number 211386652 - NMLS#454124
Federally insured by NCUA.
We do business in accordance with the Fair Housing Law.