Deposit Products App

Search

News

Site Map

Privacy Policy

Contact

Mazuma Deposit Products Application

By using this online form, you can apply for a Mazuma checking account, certificate of deposit, individual retirement account, or money market account. Please fill in this form and press the Print Preview button at the bottom of the page.

To protect your privacy, NO information is sent over the Internet.

When you hit Print Preview, this will create a new window on your screen with all of the information that you have entered. If the information looks correct, please PRINT the form, sign, date and initial it, then mail or bring it to the Mazuma Credit Union office nearest you.

Please Note: If you are sending this application at the same time that you are applying for Mazuma membership, you do NOT need to fill in any duplicate areas of the form, but please remember to send in your Mazuma membership application along with this form.

Online Teller Users: To submit your application via secured email,
logon to Online Teller and choose "Applications" from the drop-down menu.

Fields with an * next to them are required fields. Information must be provided in order to complete form processing.

*I am applying for the following account(s):
Savings
Regular Share Savings	Special Share Savings
Holiday Share Savings	IRA Share Savings
Money Bunny Club	fyi Only Club
Checking
Classic Checking	Signature Checking
Premier Checking
Money Market
Money Maximizer Account
Certificates of Deposit
Classic CD	Signature CD
Premier CD	Deposit CD
Jump-Up CD	Wealth Builder CD
Young Investor's CD	Nothing but 'Net CD

Applicant Information
*First Name, M.I.	*Last Name
*Account Number	*SS No. or Tax I.D.
*Street Address	*City
*State	*Zip Code
Home Phone No.	Work Phone No.
Date of Birth	Place of Birth
Driver's License No.	State Issued
Mother's Maiden Name	Employer
Are you a United States Citizen? Yes No	Are you subject to any backup witholding tax? Yes No
Initial Deposit
All deposit accounts require an initial deposit. The initial deposit amount required can be found on the Deposit Products page.
Choose one:
Transfer $ from account #
Check enclosed
Membership Elegibility
Federal Employee Agency	Zip Code
Select Employee Group SEG Name	Family Member Account Number
Joint Account Applicant Information
First Name, M.I.	Last Name
Date of Birth	Social Security No.
Driver's License No.	State Issued
Beneficiaries
Do you want one or more beneficiaries? Yes No
If so, please enter Full Name, Social Security No. and Address for each person.
Full Name	Social Security No.
Street Address	City
State	Zip Code

Full Name	Social Security No.
Street Address	City
State	Zip Code
Overdraft Protection
Do you want overdraft protection? Yes No
If so, which overdraft resources do you wish to use?
Savings	MMA
LOC	Visa
If so, for what accounts?
Classic Checking	Checking Suffix
Signature Checking	Premier Checking

Additional Information
Please enter any additional comments that you would like to include with this application.

Please be patient, this takes a moment.

If you are mailing this form, we will need a photocopy of a valid driver's license photo I.D. for the primary account holder and all joint account holders. You will receive a signature card or form to be signed by you and all joint account holders. If you are coming in person, please bring valid photo I.D. for yourself and all joint account holders.

All new members or current members adding a checking account must pass ChexSystems. If we have received an opening deposit and you do not qualify, your deposit will be returned along with a letter of explanation.

Any suit involving any dispute or matter arising under this Agreement may only be brought in the United States District Court of the Western District of Missouri or any Missouri State court having jurisdiction over the subject matter of the dispute or matter.

This Agreement shall be governed by and construed in accordance with the laws of the State of Missouri.