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PAC Phone Number (409)729-7938

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Wednesday, February 22, 2012
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PDF Logo PAC FCU Membership Application

Port Arthur Community Federal Credit Union Membership Application


Please print this form, fill it out and fax to (409-729-7948)

To complete the application you may choose either to print out the form listed on the following pages, or use the PDF version to complete the application and email it.

General Information:
Will there be a co-applicant on this application? No Yes, 1 co-applicant Yes, 2 co-applicants
Membership Eligibility:
Employer Employer Name:
Family Member Family Name:
Community Community Name:
Primary Applicant:
Last Name: Middle Name:
First Name: Social Security Number (TIN):
Date of Birth: Home Phone Number:
Work Phone Number: Other Phone Number:
Email Address: Mother's Maiden Name
I certify that:
The TIN is correct and
I ( am / am not ) subject to back-up withholding (Circle One) and
I am a U.S. Person (including a U.S. Resident Alien).
Drivers License #: Drivers License State:
Drivers License Expiration Date:
Home Address (not P.O. Box)
Address 1:
Address 2:
City: State, Zip:
Time at Current Residence: Residence Type: Own Rent Other:
Mailing Address (if different)
Address 1:
Address 2:
City: State, Zip:
Employment History
Present Employer Name: Employer Phone Number:
Employer's Address 1:
Employer's Address 2:
City: State, Zip:
Job Title: Job Start Date:
References
Nearest Relative Not Living With You
Last Name: First Name:
Relationship: Phone Number:
Address 1:
Address 2:
City: State, Zip:
Additional Information
How would you prefer to be contacted?
Home Phone
Work Phone
Other Phone
Email Address
Other:
Special Instructions/Comments:
Signature
The Internal Revenue Service does not require your consent to any provision of this contract other than the certifications required to avoid backup withholding.
Signature: Date:

If this is for a joint account
Print this page and then click here for the co-applicant form.

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Lobby Hours:
Monday - Friday
9:00 am to 5:00 pm
Saturday
Closed

 Drive Thru Hours:
Monday - Thursday
8:30 am - 5:30 pm
Friday
8:30 am - 6:00 pm
Saturday
9:00 am - 12:00 pm
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Port Arthur Community Federal Credit Union
3100 Central Mall Drive
Port Arthur, TX 77642
Phone Numbers:
(409)729-7938
(409) 729-7948 FAX
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Mortagage Loans 15 Yr Fixed as Low as X% APR
Auto Loans as low as X% APR
Certificates as high as X% APY
Money Market Savings as high as X% APY
Credit Cards Variable as low as X% APR
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Finance a "titled loan" with PAC, and get a digital camcorder! Certain restrictions apply, see credit union for rules and details.
(409)729-7938

Camcorder Promotion
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Don't run the risk of buying a used car with costly hidden problems. Get a detailed vehicle history report from our nationwide database within seconds.

Click to visit Carfax.com

Carfax now available
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Congratulations to our 2011 Scholarship Winners
Janaia Bell
Memorial High School
Kyle Markum
Hamshire Fannett

Scholarship Winners
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Auto Loans as low as 2.5%!
Call or come in and talk to a loan officer for details.
(409)729-7938

Auto Loans
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PAC FCU vehicles for sale

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