 |
BARB
APPLICATION |
| Print
out and complete this application. Then mail to Choice One Community Federal
Credit Union. Your PIN will be mailed to you. You will be able to access
BARB on the business day following the receipt of your application. The
application must be signed by you and any joint owners authorized to use
your account. |
| c
YES! I would like to
sign up for BARB and make my financial life easier! |
| Social
Security Number ________________________________________________ |
Name
_______________________________________________________
PIN # _____________ |
| Home
Address _______________________________________________________ |
| Work
Address _______________________________________________________ |
| Home
Phone ________________________________________________________ |
| Work
Phone ________________________________________________________ |
| I/We
have read and agree to the BARB agreement and acknowledge receipt of the
disclosure statement. |
| Primary
Member Signature ____________________________________________ |
|
Joint
Signature(s)
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
|
|
Call
BARB Anytime At:
1-800-577-2275 PA Only,
570-829-5993 or 570-829-5995
|