First Entertainment Credit Union

Term Savings Certificate Application

Please complete all fields

6 Month Term Savings Certificate
1 Year Term Savings Certificate
2 Year Term Savings Certificate
3 Year Term Savings Certificate
4 Year Term Savings Certificate
5 Year Term Savings Certificate

Member Information:
Member Name
Account Number
Current Address
State Zip
Home Phone
Work Phone
Social Security Number
Joint Member Name (if applicable)
Promo Code:
Promo Code
Initial Deposit ($1,000 minimum)... Transfer funds from my credit union:
First500 Savings Account $
Checking Account $
Money Market Account $
Other (please describe)
Total Deposit $
Renewal Options... Choose one of the following:
Automatic Renewal Option - I authorize the credit union to renew my Certificate at each maturity without further authorization. I understand that this automatic renewal option may be revoked by me at any time, and that I will receive notification of upcoming maturity dates and a confirmation of each renewal.
Transfer the balance from my matured Certificate into my First500 Savings Account.
Disbursement of Certificate Dividends...Choose one of the following:
Allow dividends to accumulate in my Certificate Account.
Transfer dividends to my First500 Savings Account.
Optional Pay-On-Death(P.O.D.) Beneficiary Designation:
Distribution will be made equally unless indicated differently below. (Between P.O.D. beneficiaries, there is no right of survivorship.)
Name of 1st Beneficiary
Social Security Number
Distribution %
State Zip
Name of 2nd Beneficiary
Social Security Number
Distribution %
State Zip
By submitting this application, I certify that the information given is true and correct, and agree to be bound by the terms and conditions set forth in the Truth-In-Savings Agreement and Disclosure, which will be delivered to me.