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VISA Debit Card Application

You must have a checking account to be eligible for a debit card.

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Primary Applicant

Joint Applicant

Finishing Up

User Agreement

The Information provided above is given so that the undersigned member(s) may obtain a Golden Plains Credit Union Check Card. I/We certify that the information is true and correct and authorize the Credit Union to verify it, obtain more information about my/our credit and deposit history, and furnish such information to others. I/We understand and agree that anyone in possession of my/our Check Card may access my/our account through use of the Check Card. I/We agree to use the Check Card according to the rules provided by the Credit Union.

Account Disclosures

View the Account Disclosures

Signatures

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