Parent/Guardian Information:
First Name
*
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Last Name
*
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Are you a member of Affinity Credit Union?
Yes
No
Member Number
*
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Email Address
*
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Phone Number
*
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If not a member of Affinity Credit Union, please provide the following:
Social Security Number
*
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Picture of non-expired Driver’s License
Click or drag & drop image here to upload
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Child’s Information:
First Name
*
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Last Name
*
check
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Is your child a member of Affinity Credit Union?
Yes
No
Member Number
*
check
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Picture of Social Security Card:
Click or drag & drop image here to upload
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Thank you for your interest in an Invest in Me Certificate, we will get in touch with you within one business day.