Email: ____________________________________

Phone Number: ____________________________    Cell: _________________________________

I hereby make application for the account(s) indicated and agree that the account(s) is/are subject to the terms of the Membership Invitation. I understand and agree that the account(s) indicated are owned by any joint owner(s) set forth on the Membership Invitation. I agree to conform to your bylaws as well as all applicable terms and conditions set forth in the Deposit Account Agreement, Truth in Savings Disclosure, the Certificate Account Agreement and Disclosure (if applicable) and Electronic Services Disclosure and Agreement (receipt of all of which is hereby acknowledged and which is incorporated by this reference). I understand and agree that this Membership Invitation shall govern the Regular Share, the Checking Account, the Debit/ATM Card, Online Banking and the TARA audio response system and other accounts designated by me. I authorize you to open other account(s) for me in person or per my telephone, online, or written request.