Please provide the following information & deposit to complete the process of establishing your New Membership at Western Division.
Information you will need ready:
Codeword (no special characters)
Identification
Account Information from the other financial institution
Proof of the other financial institution account (Account Statement or Voided Check.) The Proof MUST include your Name and Account #.
NEW MEMBER INFORMATION
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CODEWORD
This is a Word or Number that will be set up on your Membership for security purposes and/or used for e-signing documents.
NOT to exceed 15 Characters
NO Special Characters (*^! etc)
When choosing a Codeword DO NOT base it on personal information (Example: Date of Birth; Phone Number; Name or Family Name)
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NEW MEMBER IDENTIFICATION
Driver's License; Non Drivers ID or Passport *
Click or drag & drop image here to upload
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JOINT MEMBER IDENTIFICATION (if applicable)
If you wish to add a Joint Member and do not have the Joint Member Identification available when completing this form, provide the Joint Member Identification by TEXT to (716) 632-9328)
Driver's License; Non Drivers ID or Passport
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DEPOSIT INFORMATION
This information provided will initiate a debit from your other Financial Institution to Western Division.
Required Minimum Deposit: *
Membership - $5.00
Joint Membership - $10.00
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REQUIRED: Provide documentation showing proof of your other Financial Institution account. Example: Account Statement or Voided Check (A Debit Card is not acceptable)
The Proof MUST include your Name and Account # and match the Name of Account listed above.
Upload Image *
Click or drag & drop image here to upload
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I have read and agree to the following terms: *
I hereby authorize Western Division to initiate a debit/credit entry (ACH) to the account listed above, of which I certify that I am an authorized account holder. I further authorize Western Division to initiate correcting entry(s) and adjustment(s) for any transactions processed in error using the account information provided, or for transactions that are returned unpaid, for which a return item fee will be assessed. The terms of the Western Division Membership and Account Agreement and EFT Agreement are incorporated into this Authorization. I understand that an Account-to-Account (A2A), free service, will be established on this Membership in order to provide transfer services between my accounts at Western Division and my other Financial Institution.
Transaction Request Received ******* DO NOT RESUBMIT *******
Your transaction may take 24-48 hours to post. Transaction requests are processed during normal business hours Monday - Friday (excluding holidays).
Thank you for your submission. We will confirm with you once the A2A has been established for your use.