Wawa Application PDF Details

The Wawa Application Form represents a fundamental step for individuals seeking to join the Wawa Employees’ Credit Union, functioning as a comprehensive document designed to capture essential personal and financial information from applicants. Located at 260 W. Baltimore Pike in Wawa, PA, and available by phone at 610-358-8030, this credit union opens its doors to members with a detailed application process. From inputting personal details such as name, address, Social Security number, and date of birth, to specifying the type of membership through store number or relationship to eligibility, the form is meticulously structured to ensure a thorough assessment. Applicants are required to acknowledge the receipt of applicable disclosures, signify their agreement to adhere to the credit union's bylaws, and certify their tax identification number alongside their status regarding backup withholding and U.S. residency. Additionally, the form allows for the designation of a joint account, should that be relevant, and provides a checklist for various services one might opt into, including different savings programs, checking account options, payroll deduction schemes for easier savings contributions, and more. This methodical process, updated as of April 2, 2013, culminates in an official use section for administrative purposes, ensuring each application is reviewed and processed with due diligence. This robust document not only facilitates the initiation of a financial relationship between applicants and the credit union but also underlines the commitment of Wawa Employees’ Credit Union to responsible and comprehensive financial stewardship.

QuestionAnswer
Form NameWawa Application
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameswawa application printable, wawa application for employment, wawa paper application, wawa application

Form Preview Example

WAWA EMPLOYEES’ CREDIT UNION

260 W. Baltimore Pike, Wawa, PA 19063-5699

610-358-8030

MEMBERSHIP APPLICATION

_____________________________________

Name (Please Print) LastFirstMiddle Initial

________________________________________________________

Street

_______________________________________________________

City

State

Zip

________________________________________

_____________

Social Security Number

 

Date of Birth

(_____)____________ (____)___________

Home Phone

Work Phone

Email__________________________________________________

_______________________________________________________

Store # or Relationship / Eligibility for Membership

I hereby make application for membership in Wawa

Employees’ Credit Union and agree to conform to the bylaws or any amendments thereof in the Wawa Employees’ Credit

Union. I understand that by my signature on this application, I and any joint owners acknowledge that I have received all applicable disclosures and that I agree to all the terms and conditions as set forth.

Under penalties of perjury I certify that (1) the number shown on this form is my correct Taxpayer Identification (Social Security) Number and (2) that I am not subject to backup withholding as a result of a failure to report all interest or dividends; or the Internal Revenue Service has notified me that I am no longer subject to backup withholding. (3) I am a U.S. person (including a U.S. resident alien).

__________________________________________________

Your SignatureDate

Joint Account Information Only

_____________________________________

Name (Please Print) Last

First

Middle Initial

_________________________________________

____________

Social Security Number

 

Date of Birth

___________________________________________________

Joint Members Signature

Date

(Over)

Updated 4/2/2013

Check the services you would like to receive.

Savings

 STAR/ATM (Service Fee Charged)

PIN ___ ___ ___ ___

(4 Numbers or 4 Characters no Q or Z)

No fee Checking

Order checks (Cost is deducted from acct)

 Master Card Check Card with

STAR/ATM (Service Fee Charged)

PIN ___ ___ ___ ___

(4 Numbers or 4 Characters no Q or Z)

Christmas Club

Vacation Club

Wawa Payroll Deduction

If you wish your payroll deduction to go into more than one account, fill in the amount on each account and write REMAINDER or NET in the account to receive the balance.

$ _____________ Savings

$ _____________ Checking

$ _____________ Christmas Club

$ _____________ Vacation Club

$ _____________ Total or Net Pay

____________________________________________________

Official Use Only

Cks System ______ Denial Mailed ______

Cks Date ________________ By________

Disclosure Date ___________By________

ATM Date ______________ By________

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