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Membership Eligibility Membership Booklet

(Please note that when you electronically sign and submit the application below, you are agreeing to all terms/conditions contained within the booklet.)

Account Opening Survey

What products or services were you seeking when you came to Best Reward?

Account Ownership

Designate the ownership of accounts and responsibility for the services requested

Member Application and Ownership Information

(such as Mother’s Maiden Name, Pet’s Name, Nickname, etc. that we can ask you to better identify your identity if needed)

Joint Owner Information

Account Designations

Account Designation

(1)Beneficiary Designation

(2) UTTMA/UGMA Designation (as custodian for minor under Uniform Transfers/Gifts to Minors Act)

(3) Agency Designation

All Accounts (if no, specify)

(4) Other Designation

Account Type(s)

Choose Account Type(s)

Account Services

TIN Certificate and 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).

Certification Instructions.

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Finishing Up

Which location do you prefer to finalize your member application?

Electronic Signature & Authorization

By signing below, I/we agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Disclosure, Funds Availability Policy Disclosure, Privacy Notice 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.

Please Enter Member's Full Name Below and (if applicable) Joint Member's Full Name:

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