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Share Certificate Application

* Required Fields

This form is for OUCU members who would like to open a Share Certificate under their existing credit union account number. This is a secure site and your transmission will be encrypted.

When you have completed the form, press the SUBMIT button to send your certificate request for processing. If you have any questions, please call us at (740) 597-2800 or (800) 562-8420 during regular business hours.

Be sure to review our Share Certificate rates and disclosures.

Please select term in months:

If special, please tell us the term:

Enter certificate amount:

Select a source of funds to purchase certificate:

Transfer funds from another account

I will mail a check to the credit union.

Transfer funds from:

Select one option for the payment of certificate dividends:

Add to my Certificate

Transfer quarterly to another account

Mail me a check for the dividends

Transfer quarterly to:

Mail me a check for the dividends:

First Name:

Last Name:

Address:

Address 2:

City:

State:

ZIP:

Home Phone Number:

Work Phone Number:

Date of Birth:

/ /

Credit Union Account Number:

Email Address:

Ownership of this certificate will be:

Individual

Individual with Beneficiary

Joint

JOINT OWNER/BENEFICIARY INFORMATION

First Name:

Last Name:

Address:

Address 2:

City:

State:

ZIP:

Home Phone Number:

Work Phone Number:

We will begin processing this request upon receiving it during regular business hours and will mail you a certificate shortly thereafter. If you are mailing us a check, we will open the certificate when we receive the funds. If the credit union does not receive your funds within the five (5) business days, the interest rate in effect on the date the credit union receives your deposit will apply. Thank you.

Checks can be mailed to:
OUCU Financial
ATTN: Membership Services
944 E State St.
Athens, OH 45701

Security Code:

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