Acushnet Federal Credit Union
MasterCard® Debit/ATM Card Application
Acushnet Federal Credit Union (Also known as “AFCU”) MasterCard Debit/ATM Card looks like a credit card but works like a check!
Debit Card purchases are automatically deducted from your AFCU checking account, so you can enjoy credit card convenience without
the credit card interest. Our debit card offers the ease and convenience of a debit card, the worldwide acceptance of MasterCard, and
access to your money at ATMs across the country and around the world. Use it wherever MasterCard is accepted. Make purchases at
restaurants, retail stores, supermarkets, gas stations, and online – anywhere MasterCard is accepted!
Apply for your AFCU MasterCard Debit/ATM Card today! Simply fill out the information requested below, sign, return to Acushnet
Federal Credit Union, 112 Main Street Acushnet, MA 02743. If you have questions or concerns, please contact us at 508-995-9100.
I/We would like An Acushnet Federal Credit Union MasterCard Debit/ATM Card.
Name (1)
Name (2) __________________________________________
Social Security #
Social Security #
Date of birth
Date of birth
Mailing Address
Mailing Address ____________________________________
City
State
Phone # (home)
(cell)
Zip
Email address
City
State
Phone # (home)
(cell)
Zip
Email address
When you use your AFCU MasterCard Debit/ATM Card for purchases, the amount of your purchase is automatically deducted
from your AFCU checking account. Your AFCU MasterCard Debit/ATM Card can also be used to access thousands of ATMs across
the country and around the world. Please indicate the AFCU checking account # you would like these funds to be drawn from:
AFCU Checking Account #
Authorizations:
By signing below, I/we apply for an Acushnet Federal Credit Union MasterCard Debit/ATM Card. I/we understand that the MasterCard
Debit/ATM Card is not a credit card and that the dollar amount of purchases made with this card will be automatically deducted from
my/our AFCU checking account. I/we authorize Acushnet Federal Credit Union to verify the information provided above and request
a credit report if necessary. AFCU’s MasterCard Debit/ATM Card is available only to qualified members. I/we agree to maintain
sufficient balance in my/our designated checking account to cover all transactions made with the MasterCard Debit/ATM Card. Other
requirements and restrictions may apply. I/we agree to be bound by the terms and conditions covered in the appropriate Disclosure
Statement and Cardholder Agreement.
Signature (1) __________________________________________________________________ Date (1) _____________________
Signature (2) __________________________________________________________________ Date (2) ______________________
FOR INTERNAL USE ONLY:
Card #
Date
Entered by