AA Credit Union

Spring 2018

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Sponsor Member's Name: Sponsor Member's Account Number: Note: Applicant must provide Sponsor Member's Account number and name. Employer Information (of Primary Owner) Employer: Occupation/Job Title: Gross Income: Years Employed: How did you hear about us?: Promo Code: JOINT Owner Information (Joint owner must be within American Airlines Credit Union field of membership and must sign the application.) Existing Account Number: First Name: Middle: Last Name: Physical Street Address: (No P.O. Boxes) City: State: ZIP: Country: Mailing Address: (if different from physical street address) City: State: ZIP: Country: / / Date of Birth: SS #/ITIN: Government-Issued ID/Driver's License #: Issuing State/Country: Issue Date: Expiration Date: Please complete and submit this application to any American Airlines Credit Union branch location. Or, mail the application to the initial minimum deposit of $6.00 (includes the one-time $1.00 membership fee) in the form of a check or money order (please do Or call (800) 533-0035. PRIMARY Owner Information Account Modification Existing Account Number: First Name: Middle: Last Name: Female Male Physical Street Address: (No P.O. Boxes) City: State: ZIP: Country: Rent Own Number of years: Mailing Address: (if different from physical street address) City: State: ZIP: Country: Date of Birth: / / SS #/ITIN: Government-Issued ID/Driver's License #: Issuing State/Country: Issue Date: Expiration Date: Driver's License State ID Passport Resident Alien Card Citizenship (select one): U.S. Citizen Permanent Resident Non-permanent Resident (requires W-8 BEN and ITIN) Home Phone: ( ) Work Phone: ( ) Cellphone: ( ) Mother's Maiden Name: Primary Owner Eligibility Information I am eligible to join American Airlines Credit Union in one of the following ways: Account # Share ID FOR OFFICE USE ONLY American Airlines Federal Credit Union Member Application l Account New Member Add Joint Owner Remove Joint Owner Female Male Rent Own Number of years: Driver's License State ID Passport Resident Alien Card Citizenship (select one): U.S. Citizen Permanent Resident Non-permanent Resident (requires W-8 BEN and ITIN). 3. I am a family or permanent household member of a current American Airlines Credit Union member. Please indicate relationship to sponsor member: Spouse Child Grandchild Sibling Parent Grandparent Permanent Household Member Email Address: Home Phone: ( ) Work Phone: ( ) Cellphone: ( ) Mother's Maiden Name: Relationship to Primary Account Owner: Email Address: Which is your primary phone number?: Home Work Cellphone 1. Employee Number: I am of American Airlines Group a retiree an employee Company Name: 2. I am of the Air Transportation Industry a retiree an employee Employee Number: Which is your primary phone number?: Home Work Cellphone American Airlines Envoy Piedmont PSA Airlines

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