Sioux Falls Federal Credit Union

CREDIT CARD APPLICATION

Please provide all the requested information. When you have completed the form, use the Submit button at the bottom to securely forward it to us.
Loan Information
Will there be a co-applicant on this
visa application?
Yes or No
Type of Card requested
Primary Applicant
Member Number
First Name
Last Name
Social Security # (xxx-xx-xxxx)
Date of Birth (mm/dd/yyyy)
Address
  City
  State
  ZIP Code
Home Phone (xxx-xxx-xxxx)
Cell Phone (xxx-xxx-xxxx)
E-Mail Address
Employment Information
Employer Name
Employer Phone Number (xxx-xxx-xxxx)
Job Start Date Month/Year
Job Title
Gross Income
Additional Income
Additional Income Source
Co-Applicant Information
Member Number
First Name
Last Name
Social Security # (xxx-xx-xxxx)
Date of Birth (mm/dd/yyyy)
Address
  City
  State
  ZIP code
Home Phone (xxx-xxx-xxxx)
Cell Phone (xxx-xxx-xxxx)
Employment Information
Employer Name
Employer Phone Number (xxx-xxx-xxxx)
Job Start Date Month/Year
Job Title
Gross Income
Debts / Monthly Payment
Balance Transfers
Card Issuer Amount to be Transferred Card #

In addition to Rent/Mortgage, list all other debts (for example, auto loans, credit cards, second mortgage, home association dues, alimony, child support, etc.). Please use a separate line for each credit card and auto loan.

Please note: Income verification and other information may be required.

Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested.

I certify that statements on this application are true and complete. I authorize any person, association, firm, or corporation to furnish, on request of this Credit Union, information concerning me or my affairs.

By submitting this application you authorize the credit union to obtain credit reports in connection with this application. The credit union is relying on what you stated in this application and you acknowledge that everything you stated is true. If the application is approved and a credit card issued to you and you use the card (or the card number) or authorize its use, you agree that such use will constitute your agreement to the terms of the Visa Credit Card Agreement that will be sent to you.