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Individual Ownership Membership or Account Form

This form will allow you to open an individual (no joints) membership or additional checking account with Brightview Federal Credit Union. An initial deposit of $5.00 is due before a savings is opened. A savings must be opened in order to open a checking account. No deposit is required for the checking account. A Brightview representative will reach out to you with more instructions.
Account Type(Required)
Please select each account that you wish to open.
I will pay the $5.00 initial deposit for the savings through:(Required)
A $5.00 initial deposit is required before the savings can be opened. No deposit is required for the checking. If the deposit is being paid online, a representative will reach out to you to take the deposit over the phone.
Primary Member's Name(Required)
Date of Birth(Required)
Start Date
Primary Member's Address(Required)
Expiration Date(Required)
Max. file size: 64 MB.
Must be a government issued form of identification with a clear photo. Reproductions not accepted.
Max. file size: 64 MB.
Secondary Government Identification, Social Security Card, Birth Certificate, Credit Card (Not Debit)
Payable Upon Death's Name(Required)
The Payable Upon Death (POD) will be the beneficiary of any account selected above.
Payable Upon Death's Date of Birth(Required)
Additional Services
If an additional service is unchecked, we will opt you out of that service. You will have to reach out to the credit union to reactivate that service in the future.
TIN Certification and Backup Withholding Information(Required)
Additional Information Required Authorization(Required)
Primary Account Holder's Printed Name(Required)
By entering your name here, you agree to the statement in the TIN Certification and Backup Withholding Information section and the Authorization section.
Today's Date(Required)
This field is for validation purposes and should be left unchanged.