Authorization For Issuance Of Additional Cards
I hereby authorize issuance of the below marked cards under my account number, to the people listed below (Although Commonwealth CU allows additional cardholders, please understand that account owners accept full liability for their card usage. Commonwealth CU strongly recommends that account owners open joint accounts with limited balances.)
I realize that I am fully (100%) responsible for all transactions on this account made by any additional card holder. The additional cardholder is not legally liable for any transaction he/she makes with the card. If my account is overdrawn by transactions made by these individuals, I understand that all funds from any account I may have overdraft protection privileges from may be used to cover use of the card by the authorized person.
The PIN number assigned to my card will remain the same for all additional cards issued to this account. This PIN number can be changed by any cardholder when presented at a re-pinning station. Authorized users will have access to cash by withdrawing from an ATM or by conducting a cash advance (using the Global Card).
**All additional cards will be mailed to the address of the primary member on the account**
Card Type:
| _____ATM | _____Global | _____Savings ID# 01 | _____Checking ID # 02 |
Signature:_____________________________________________ Date:_______________________
Signature:_____________________________________________ Date:_______________________
Signature:_____________________________________________ Date:_______________________
Member Signature:______________________________________ Date:_______________________
Joint Member Signature:__________________________________ Date:_______________________
Witness: ______________________________________________
Account Number:
Please print out, sign and
return this application. You can drop this off
at any branch or mail to:
P.O. Box 978, Frankfort, Ky 40602-0978
For use by Commonwealth CU Staff Only: Date:_____________ Phone:______________ Time:_____________ Employee:____________________ |