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IF YOU DO NOT ALREADY HAVE A DIXIE'S FEDERAL CREDIT UNION ACCOUNT, WE CAN ESTABLISH THAT WITH YOU. 

FILL IN ALL THE REQUESTED INFORMATION AND WE WILL PROCESS YOUR APPLICATION TO BECOME A MEMBER OF DIXIE'S FCU IMMEDIATELY.  WE WILL WANT YOU TO PRESENT YOUR IDENTIFICATION (DRIVER’S LICENSE AND SOCIAL SECURITY CARD OR AT LEAST ONE OTHER FORM OF ID WITH YOUR NAME/ADDRESS/PHOTO) IN PERSON AT EITHER BRANCH TO COMPLETE THE APPLICATION PROCESS AND GET YOUR SIGNATURE AUTHORIZING THE ACCOUNT.
Name

First
Last
DO YOU LIVE, WORK, WORSHIP, ATTEND SCHOOL, OR HAVE FAMILY WHO DO, IN DARLINGTON COUNTY?
 Yes 
 No 
IS THE INFORMATION ON YOUR DRIVER’S LICENSE CORRECT?
 Yes 
 No 
PROVIDE YOUR SC DRIVERS LICENSE NUMBER:
PROVIDE YOUR SOCIAL SECURITY NUMBER:
DATE OF BIRTH:

MM 		/
DD 		/
YYYY
CURRENT ADDRESS:

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Phone

### 		-
### 		-
####
WOULD YOU LIKE AN ATM CARD WITH YOUR SAVINGS ACCOUNT?
 Yes 
 No 
DO YOU WANT TO ESTABLISH A CHECKING ACCOUNT? THIS ACCOUNT COMES WITH A DEBIT CARD; DO YOU WANT ONE?
 Yes I want a checking account with an debit card. 
 Yes I want a checking account but I do not want an debit card. 
 No I do not want a checking account. 
DO YOU WANT CHECKS?
 Yes 
 No 
DO YOU WANT OVERDRAFT PROTECTION ON YOUR CHECKING ACCOUNT?
 Yes 
 No 
WILL YOU BE DIRECT DEPOSITING YOUR CHECK? WE WILL PROVIDE YOU WITH THE INFORMATION TO TRANSFER YOUR DIRECT DEPOSIT, OR IN THE CASE OF A GOVERNMENT BENEFITS CHECK, WE CAN PERFORM THE TRANSFER FOR YOU.
 Yes 
 No 
DO YOU WANT TO USE THE DIXIES FEDERAL ONLINE BILL PAY SERVICE? THIS SERVICE IS FREE.
 Yes 
 No 
DO YOU WANT TO USE THE DIXIES FEDERAL TELLER 24 TELEPHONE SERVICE? THIS SERVICE IS FREE.
 Yes 
 No 
DID A DIXIES FEDERAL CREDIT UNION MEMBER REFER YOU TO US?
 Yes 
 No 
IF YES WE WOULD LOVE TO KNOW WHO; WE HAVE A SPECIAL PRIZE FOR THEM!
 

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