Before you get started You need to be eligible You must be at least 18 years of age and eligible to join the credit union Are you eligible for membership? You need two forms of ID 1. A valid U.S. government issued photo ID (exp. Drivers License, Military ID) 2. 2nd ID (the 2nd ID can be your SSN card, Work Photo ID, other government ID, passport, or current debit/credit card) You need to deposit $10 Ability to open a Share/Saving Account Minimum Deposit $10 Before you get started You need to be eligible You must be at least 18 years of age and eligible to join the credit union Are you eligible for membership? You need two forms of ID 1. A valid U.S. government issued photo ID (exp. Drivers License, Military ID) 2. 2nd ID (the 2nd ID can be your SSN card, Work Photo ID, other government ID, passport, or current debit/credit card) You need to deposit $10 Ability to open a Share/Saving Account Minimum Deposit $10 Field is required!Field is required!noteField is required!Field is required!noteField is required!Field is required!noteField is required!Field is required!noteField is required!Field is required!Membership EligibilityHow are you eligible for membership?- select a option -Richmond Public SchoolsVirginia Union UniversityBon Secours Richmond Community HospitalMetroplitan Business League and AssociationCity to City Auto Sales (MBL Partner)Southside Community Development and Housing CorporationEducation Services Corporation n of VirginiaThe Market @25th Street (MBL partner)Live in Blackwell, Manchester or SwansboroWork in Blackwell, Manchester or SwansboroWorship in Blackwell, Manchester or SwansboroImmediate family members of any current memberUrban League Young ProfessionalsOther- select a option -Field is required!Field is required!Please Specify[{"field":"Membership_Eligibility","logic":"contains","value":"Membership_Eligibility_other","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Account TypeAll Members are required to have a Share/Saving AccountYes, I understand I will create a Share/Saving Account (Minimal $10 Deposit)Field is required!Field is required!Would you like to add any additional accounts?Share Draft/Checking (Minimal $10 Deposit)Share Certificate/Certificate (Minimal $2000 Deposit)HSA (Not Offered)OtherNo, not at this timeField is required!Field is required!Please SpecifyOther Account Type[{"field":"accounttype","logic":"contains","value":"account-other","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required![{"field":"accounttype","logic":"equal","value":"account-other","and_method":"","field_and":"","logic_and":"","value_and":""}]Disclosures and Important InformationPlease Review the Disclosure Agreement:All of the terms, conditions, form of account selection and other information indicated on this card apply to all of the account listed unless the Credit Union is notified in writing of a change.The account number for each of the account listed consists of the suffix added to the end of the member number listed in the "MEMBER APPLICATION AND OWNERSHIP INFORMATION" section. if this card applies to more than one account of the same type, more then one suffix will be listed for that account type.Yes, I have read the Disclosure Agreement.Field is required!Field is required!How would you like to receive your statements?Free Monthly Electronic Statements (Valid Email Address required)Monthly Paper Statements ($5/quarter) (Valid Mailing Address required) No PO BoxesField is required!Field is required!Your E-mail AddressField is required!Field is required![{"field":"{statements}","logic":"equal","value":"electronic","and_method":"","field_and":"","logic_and":"","value_and":""}]Member Application InformationWhat is your first name?First NameField is required!Field is required!What is your last name?Last NameField is required!Field is required!Middle InitialMiddle InitialField is required!Field is required!Where do you live?Address Line 1 *Street Field is required!Field is required!Address Line 2Street Field is required!Field is required!City *CityField is required!Field is required!State *- select a option -AlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming- select a option -Field is required!Field is required!Zipcode *ZipcodeField is required!Field is required!Additional Personal and Contact InformationSSN/TIN *Must include dashes ex: XXX-XX-XXXXXXX-XX-XXXX^\d{3}-\d{2}-\d{4}$Field is required!Field is required!Driver's License No. *Driver's Lic No.Field is required!Field is required!What is your date of birth?dd/mm/yyyy^[0-9]+(/[0-9]+)*$Field is required!Field is required!Who is your employer?EmployerField is required!Field is required!What is your home phone? *Home PhoneField is required!Field is required!What is your work phone? *Work PhoneField is required!Field is required!Email *EmailField is required!Field is required!Confirm Email *EmailField is required!Field is required!Account ServicesWould you like to add any additional account services?Debit Card (One time $5 fee)ATM CardOnline BankingPayroll Deduction/Direct DepositOverdraft Protection (Indicate Transfer Priority)Audio Response (Telephone Teller)OtherField is required!Field is required!Additional Account SettingsPayable On Death Designations (Optional)Do you want to designate a Payable on Death (POD) representative on this account? You can do this at a later date.YesNoField is required!Field is required!Payable On Death (POD) AccountAgencyDesignate Specific AccountsAll AccountsOtherField is required!Field is required!Designate Specific Accounts[{"field":"Account_Designation_Select1","logic":"contains","value":"Account-Designation-specific","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!PayeePayeeField is required!Field is required!StreetStreetField is required!Field is required!CityCityField is required!Field is required!State :State Field is required!Field is required!ZipZipField is required!Field is required![{"field":"{account-designations-optional}","logic":"contains","value":"first_choice_acc_des","and_method":"","field_and":"","logic_and":"","value_and":""}]UTMA – Uniform Transfers to Minors Act account (Optional)Do you want to open an UTMA account for a minor (age 1 year to 17 years old)YesNoField is required!Field is required!Custodian 1 (For Minor Optional)Custodian 1 - NameFull NameField is required!Field is required!Custodian's AddressCustodian's AddressField is required!Field is required!Date of Birth dd/mm/yyyydd/mm/yyyyField is required!Field is required!Date of BirthSelect a dateField is required!Field is required!SSN/TINSSN/TINField is required!Field is required![{"field":"{Uniform_Transfers}","logic":"contains","value":"Uniform_Transfers_yes","and_method":"","field_and":"","logic_and":"","value_and":""}]Custodian 2 (For Minor Optional)Custodian 2 - NameFull NameField is required!Field is required!Custodian's AddressCustodian's AddressField is required!Field is required!Date of Birth dd/mm/yyyydd/mm/yyyyField is required!Field is required!Date of BirthSelect a dateField is required!Field is required!SSN/TINSSN/TINField is required!Field is required![{"field":"{Uniform_Transfers}","logic":"contains","value":"Uniform_Transfers_yes","and_method":"","field_and":"","logic_and":"","value_and":""}]As Custodian(s) For MinorAs Custodian(s) for Minor NameFull NameField is required!Field is required!Phone Phone Field is required!Field is required!Minor's SSN/TIN Minor's SSN/TINField is required!Field is required!Minor's age under the Virginia Uniform Transfers to Minors Act Minor's AgeField is required!Field is required![{"field":"{Uniform_Transfers}","logic":"contains","value":"Uniform_Transfers_yes","and_method":"","field_and":"","logic_and":"","value_and":""}]UTMA Designation of Successor Parent/Legal Guardian (Optional)Pursuant to the Virginia Uniform Transfers to Minors Act, I hereby designate succerror custodian(s) for all account listed in the "ACCOUNT TYPE" section. This designation shall take effect only upon my death, resignation, incapacity or removalSuccessor nameYour Full NameField is required!Field is required!Datedd/mm/yyyydd/mm/yyyyField is required!Field is required!Signature of CustodianField is required!Field is required!DateSelect a dateField is required!Field is required!Datedd/mm/yyyydd/mm/yyyyField is required!Field is required!Signature of WitnessField is required!Field is required!DateSelect a dateField is required!Field is required![{"field":"{Uniform_Transfers}","logic":"contains","value":"Uniform_Transfers_yes","and_method":"","field_and":"","logic_and":"","value_and":""}]Deposit:How would you like to deposit funds? *Direct Deposit from your employer ACH - Automatic Deposit from another bank or the financial institution Automatic Transfer From your Richmond Heritage Savings or Checking account To Richmond Heritage LoanWill deposit in person at the branch Go to www.sharedbranching.org Field is required!Field is required!Name of Payee *First NameField is required!Field is required!Your Full NameField is required!Field is required!Last NameField is required!Field is required!AddressField is required!Field is required!City:CityField is required!Field is required!State:- select a option - quality = 82