Authorization For Issuance
Of Additional Credit 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 credit limits.)

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.

The PIN number can be changed by any cardholder when presented at a re-pinning station. All authorized users will have access to cash (up to the available credit limit) by conducting a cash advance.

**All additional cards will be mailed to the address of the primary member on the account**

Card Type:

First Authorized User Name (What will appear on card.)

Signature:_____________________________________________ Date:_______________________

Second Authorized User Name (What will appear on card.)

Signature:_____________________________________________ Date:_______________________

Third Authorized User Name (What will appear on card.)

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