Credit Card Application Form

  1. Personal information
  2. Membership
  3. Financial information
  4. Authorization
  5. Submit

Personal information

Loading...
    • Do you want a co-applicant
      Required
    • First name is invalid
  1. Last name is invalid
    • Phone is invalid
    • Phone is invalid
    A phone number is required
  2. Email is invalid
  3. Birthdate is invalid
  4. SSN is invalid
  5. Address is invalid
    • City is invalid
  6. ZIP code is invalid

Co-applicant

Loading...

Membership eligibility

  1. To be eligible for membership with Everence Federal Credit Union, one of the following must apply.

For security purposes

    • Invalid input

    • Invalid input



Disclosures

  1. By continuing, I agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Rate Sheet, Fee Schedule, and Funds Availability Policy Disclosure, if applicable, and to any amendment the credit union makes from time to time which are incorporated herein. I acknowledge receipt of a copy of the Agreement and Disclosures applicable to the accounts and services requested herein. If an access card or EFT service is requested and provided, I agree to the terms of and acknowledge receipt of the Electronic Funds Transfer Agreement. The Internal Revenue Service does not require your consent to any provision of the document other than the certifications required to avoid backup withholding.

Certification, backup withholding information

  1. Under penalties of perjury, I certify that:

    Instructions: You must uncheck number 2 above if you have been notified by the IRS that you are currently subject to backup withholding. Uncheck number 3 above and complete Form W-8BEN if you are not a U.S. person.
Loading...

You're already a member

Based on your personal information, it looks like you already have an Everence membership. You existing member User ID is {user_id}. If you believe this is incorrect, please use the back button and review your personal information.

Financial Information

Loading...
  1. Employment status *
  2. Employer name is invalid
    • Employer phone is invalid
  3. Annual income is invalid

  4. Other income *
    Required
  5. Do you expect your income to decline? *
    Required
  6. Are you a U.S. citizen or permanent resident? *
    Required
  7. Are there any outstanding judgements against you? *
    Required

Authorization

I authorize Everence Federal Credit Union to obtain my credit history. I understand that Everence may contact me for additional information. Everence may obtain information from others about me and give information to others. I authorize Everence to issue any credit devices requested by me. I understand that all funds advanced to me will be subject to the terms and conditions of the loan agreement. 

By submitting this application electronically, I agree to the same terms that apply to a signed application. If there is a co-applicant on this loan, that co-applicant has authorized the submission of this application. This electronic submission qualifies as my signature. I understand that I/we may have to sign loan documents before funds can be disbursed. 

 
Mastercard application disclosure
Loading...

Review

Submit Application (en v1, web) - {A52603DD-ABB8-4DFF-B54A-43B66F11C30D}.
Loading...

Applicant information


Co-applicant information


Financial information

Application successfully submitted

Confirmation (en v1, web) - {3262BC4C-D7DC-4E52-A038-D33D1FDA4A3F}.
Loading...

Applicant information


Co-applicant information


Financial information