Membership Application Request Form

This application will take 5 – 10 minutes to complete. Once it is submitted, we will contact you within 2 business days to begin the next steps.

Requirements

To apply you must meet these requirements:

You are 18 or older
You are a resident of Alberta

Yes, I meet the requirements

Regulatory Questions

*Will this Membership be used by or on behalf of a third party?

YesNo

*Are you a politically exposed foreign person?

YesNo

*Is this a joint application?

YesNo

What is the purpose of this membership?

*Other membership purpose

Contact Information

*First Name

*Last Name

*Phone Number

(555)-555-5555

*Email Address

someone@domain.com

Method of Contact

Mailing Address

*Street Address

*City

*Province

*Postal Code

Legal Address

*Street Address

*City

*Province

*Postal Code

*Enter the characters in the image

I consent to Rocky Credit Union collecting, using and disclosing my personal information as described in the agreement. View Agreement

Submit

I consent to the Financial Institution, and its agents and representatives, collecting, using, and disclosing my personal information provided in connection with this Application, and any changes or additions to this information provided in the future, for the purposes of:

providing me, or a third party for whom I am acting, with Financial Institution products and services that I have applied for or may apply for in the future and providing information to suppliers of products and services to me or the Financial Institution in connection with providing these Financial Institution products and services;
understanding my needs and determining the suitability of products and services for me; determining my eligibility for these products and services;
establishing my identity; verifying information provided by me with third parties including my employer and other financial institutions, verifying information provided by third parties; administering the Account; and making sure my records are kept separate from others with the same name;
protecting me, a third party for whom I am acting, or the Financial Institution from error and fraud such as identity theft;
collecting a debt owed to the Financial Institution;
transferring or selling Financial Institution assets, such as in an acquisition, merger, loan syndication, securitization of loans, or sale of loans;
complying with legal requirements, including money laundering laws and regulations.

I consent to the Financial Institution, and its agents and representatives, disclosing my personal information to:

suppliers of products and services to me or the Financial Institution, including data service providers, cheque printers, card manufacturers, affiliates of the Financial Institution, provincial or national central Financial Institutions or trade associations, in connection with providing and administering my Account and other products and services provided to me, or a third party for whom I am acting;
participants in the payment and clearing systems in connection with providing or administering my Account and other products and services provided to me or a third party for whom I am acting, and to other financial institutions that I request pay cheques drawn on the Financial Institution;

If there is more than 1 Applicant, I consent to the Financial Institution disclosing information about the Account as instructed by either/any 1 of the Applicants.

If you have questions about the collection, use and disclosure of your personal information by the Financial Institution, please contact us.

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