* Indicates Required

• Step 1

  Introduction

  This process will take about 7 minutes and there are two (2) steps:

  • Applicant Info
  • Account Info

  You will need the following items:

  • Driver's license or State ID
  • Previous home address (if you have lived at your home address less than 2 years)
  • U.S. Social Security number

  All applicants must be at least 18 years of age and must be U.S. citizens to apply. Minors, resident aliens and non-resident aliens may apply by contacting the financial institution. For your protection, the system will automatically log you off if there is no activity for 1 hour.

  Do not use your browser's BACK or FORWARD buttons when using this online application. Doing so may cause unexpected results.

  E-Sign Act Disclosure and Consent

  Before proceeding you must confirm that you have read and agree to the terms of the Electronic Signature Act Disclosure available at the link below.

  E-Sign Act Disclosure

  E-Sign Disclosure agreement

  I/we confirm that I have read and agree to the terms of the E-SIGN Act Disclosure above. I also agree that the Internet access device(s) I/we will use to receive the related legal disclosures, agreements, online account signature form and the instructions meet(s) the system requirements described in the disclosure presented above; and I/we consent to receiving the related legal disclosures, agreements, online account signature form and the instructions electronically. *

  You must agree to the E-Sign Act Disclosure.

  Eligibility

  Our field of membership includes: persons who live, work (or regularly conduct business in), worship, or attend school in, and businesses and other legal entities located in Beckham, Blaine, Caddo, Canadian, Cleveland, Comanche, Custer, Grady, Greer, Harmon, Jackson, Kiowa, McClain, Roger Mills, Tillman, and Washita Counties, Oklahoma; and 41 census tracts in northwest Oklahoma County (Edmond/Deer Creek area), Oklahoma; and Wilbarger County, Texas.

  US Citizen

  You must be a US citizen to open an account online. Non-US citizens should contact your nearest branch location to open an account.

  Citizenship status

  I/We verify that I am a U.S. Citizen. *

  You must verify that you're a U.S. Citizen.

  Will this be a joint account? *

  Yes No

  Application Type is required
• Step 2

  Disclosures

  Please review the account disclosures and agreements by clicking on the links below and indicate whether or not you agree and consent, or disagree. You have the option to print these disclosures and retain them for your records.

  • Funds Availability Policy Disclosure
  • Check 21 Disclosure Notice
  • Electronic Funds Disclosure
  • Membership and Account Agreement
  • Truth-in-Savings Certificates
  • Privacy Policy
  • Truth-In Savings Disclosure

  
  

  Disclosures Agreement

  I/We confirm that I/we have read and agree to the related disclosures above. I/we also agree that the Internet access device(s) I/we will use to receive the related legal disclosures, agreements, online account signature form and the instructions meet(s) the system requirements described in the disclosures aforementioned; and I/we consent to receiving the related legal disclosures, agreements, online account signature form and the instructions electronically. *

  Agreement to the disclosures is required.

  USA Patriot Act Notice

  Important Information About Procedures for Opening a New Account:
  To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

  What this means for you:
  When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
• Step 3

  Primary Applicant Information

  Primary Applicant Personal Information

  Title

  Dr. Mr. Ms. Mrs. Miss

  First Name *

  Last Name *

  Suffix

  Jr. Sr. I II III IV V VI VII VIII IX

  Social Security Number *

  Date of Birth *

  Email Address *

  Verify Email Address *

  Home Phone *

  Business/Daytime Phone

  Cell Phone

  Employer *

  Occupation *

  Mother's Maiden Name *
• Step 4

  Primary Applicant Information

  Primary Applicant Home Address

  Address Line 1*

  Address Line 2

  City *

  State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip *

  How long have you lived there? *

  Use home address for mailing address *

  Yes No

  Use home address for mailing address is required

  Mailing Address Information

  Address

  Address Line 2

  City

  State

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip

  Previous address

  Address

  Address Line 2

  City

  State

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip
• Step 5

  Primary Applicant Information

  License or State-Issued ID Information

  Do you have a valid driver's license or state-issued ID? *

  Yes No

  Do you have a valid driver's license or state-issued ID? is required

  License or ID Number *

  Drivers License State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Date Issued *

  Expiration Date *

  Passport Information (Optional)

  Passport Number

  Expiration Date

  Certification of Tax Status

  By selecting one of the statements, I authenticate and verify my tax identification number (social security number) and agree to the following statement: Under penalties of perjury, I certify that the taxpayer identification number (social security number) shown on this online form is my correct taxpayer identification number, and: *

  I am not subject to backup withholding. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, (c) the IRS has notified me that I am no longer subject to backup withholding and I am a U.S. person (including U.S. resident alien), or (d) I am exempt from FATCA reporting. (This is most common.) I am subject to backup withholding. I am subject to backup withholding because I have been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest and dividends, I am a U.S. person (including U.S. resident alien), and I am exempt from FATCA reporting. (You will know if this applies to you.)

  Tax Status is required
• Step 6

  Joint Owner Information

  Joint Applicant #1 Personal Information

  Title

  Dr. Mr. Ms. Mrs. Miss

  First Name *

  Last Name *

  Suffix

  Jr. Sr. I II III IV V VI VII VIII IX

  Social Security Number *

  Date of Birth *

  Email Address *

  Verify Email Address *

  Home Phone *

  Business/Daytime Phone

  Cell Phone

  Employer *

  Occupation *

  Mother's Maiden Name *
• Step 7

  Joint Owner Information

  Joint Applicant #1 Home Address

  Address Line 1*

  Address Line 2

  City *

  State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip *

  How long have you lived there? *

  Use home address for mailing address *

  Yes No

  Use home address for mailing address is required

  Mailing Address Information

  Address

  Address Line 2

  City

  State

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip

  Previous address

  Address

  Address Line 2

  City

  State

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip
• Step 8

  Joint Owner Information

  License or State-Issued ID Information

  Do you have a valid driver's license or state-issued ID? *

  Yes No

  Do you have a valid driver's license or state-issued ID? is required

  License or ID Number *

  Drivers License State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Date Issued *

  Expiration Date *

  Passport Information (Optional)

  Passport Number

  Expiration Date

  Certification of Tax Status

  By selecting one of the statements, I authenticate and verify my tax identification number (social security number) and agree to the following statement: Under penalties of perjury, I certify that the taxpayer identification number (social security number) shown on this online form is my correct taxpayer identification number, and: *

  I am not subject to backup withholding. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, (c) the IRS has notified me that I am no longer subject to backup withholding and I am a U.S. person (including U.S. resident alien), or (d) I am exempt from FATCA reporting. (This is most common.) I am subject to backup withholding. I am subject to backup withholding because I have been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest and dividends, I am a U.S. person (including U.S. resident alien), and I am exempt from FATCA reporting. (You will know if this applies to you.)

  Tax Status is required
• Step 9

  Account Information

  Account Type *

  Simply Free Checking Simply Free Business Checking 50 Plus Checking VIP Checking Platinum Checking Business Checking

  Account Type is required

  Account Services *

  Payroll Deduction/Direct Deposit Audio Response Overdraft Protection ATM Card Debit Card PC Access/Internet Banking

  Account Services is required

  TIN Certification & Backup Withholding Information

  Under penalties of perjury, I certify that:

  (1) The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued), and
  
  (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
  
  (3) I am a U.S. citizen or other U.S. person. For federal tax purposes, you are considered a U.S. person if you are: an individual who is a U.S. citizen or U.S. resident alien; a partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; an estate (other than a foreign estate); or a domestic trust (as defined in Regulations section 301.7701.7).

  Authorization

  All information is accurate

  By submitting the form, I/we agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Disclosure, Funds Availability Policy Disclosure, if applicable, and to any amendment the Credit Union makes from time to time which are incorporated herein. I/We acknowledge receipt of a copy of the agreements and disclosures applicable to the accounts and services requested herein. If an access card or EFT service is requested and provided, I/we agree to the terms of and acknowledge receipt of the Electronic Fund Transfers Agreement and Disclosure. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. *

  Agreement to terms is required.