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than the certification required to avoid backup withholding. Accd 09/23/16 Date Joint Account Holder Signature Date Yes, I elect to accept the Check Imaging option and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATMIChedc Card, check this box. Coop City Branch KH
ATM/Check Card I hereby apply for membership and subscribe for at least one share (55.00) in the Municipal Credit Union and agree to conform to its ByLaws and amendments thereof. I agree to be governed by the Account Agreement, Rules and Regulations and Schedule of Dividends. Service Charges and Fees o
other than the certification required to avoid backup withholding. 09,2316 Date Joint Account Holder Signature Date Yes, I elect to accept the Check Imaging option and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATM/Chedc Card, check this box. Coop City Branch KH
ATM/Check Card I hereby apply for membership and subscribe for at least one share (55.00) in the Municipal Credit Union and agree to conform to its ByLaws and amendments thereof. I agree to be governed by the Account Agreement, Rules and Regulations and Schedule of Dividends. Service Charges and Fees o
other than the certification required to avoid backup withholding. 08:1516 Date Joint Account Holder Signature Date Yes, I elect to accept the Check Imaging option and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATMIChedc Card, check this box. Brooklyn Branch Spo
ATM/Check Card I hereby apply for membership and subscribe for at least one share (55.00) in the Municipal Credit Union and agree to conform to its ByLaws and amendments thereof. I agree to be governed by the Account Agreement, Rules and Regulations and Schedule of Dividends. Service Charges and Fees o
Entities connected to both Check Imaging and ByLaws

the Internal Revenue Service
ORGANIZATION
Eric Holder
PERSONYouth Club
ORGANIZATIONFasTrack
ORGANIZATIONMiddle Initial
LOCATIONCell/Motile
ORGANIZATION
Brooklyn Branch
LOCATION#Incoming Wires/Month
ORGANIZATIONBSA Department
ORGANIZATIONDanielle Jones
PERSONMobile Transfer
ORGANIZATIONAdvance - Insurance Single Life
ORGANIZATIONNational Credit Union Administration
ORGANIZATIONOceanside Branch
LOCATIONCOMENITY
ORGANIZATIONAdvance - Insurance Disability
ORGANIZATIONROSLYN NY
LOCATIONPETR CORONA NY
ORGANIZATIONNST MODELL'S
ORGANIZATIONWESTBURY NY
LOCATION