Qside Federal Credit Union
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Referred Member Application

$20 for you, $20 for the Original Member!
Complete this form if you've been invited to join Qside Federal Credit Union by an existing member.

Invitation & Eligibility Information
We need to know who invited you to join Qside Federal Credit Union so you can both get your $20. Enter his/her name below and explain your relationship to make sure you're eligible to join. Once your membership is complete and you've been assigned a Member Number, you and the Original Member who invited you to join will each get $20 deposited to your savings account.

Who invited you to join Qside Federal Credit Union?
First Name*: Last Name*:

How do you know this person? Check one, answer completely.

He/she is my:

My employer is:

My home address is:

I study at:

I worship at:

Primary Account Holder
Enter your information below.

Are you applying for a single-member or joint Membership Account?*

First Name*: MI:
Last Name*:    
Date of Birth*:
Home Phone*:
Work Phone:*
Day Phone:*
Email Address*:
Home Adress*:
State*: Zip*:
Employer Address:
State: Zip:

Joint Account Holder (if applicable)

First Name: MI:
Last Name:    
Date of Birth:
Home Phone:
Work Phone:
Day Phone:
Email Address:
Home Adress:
State: Zip:
Employer Address:
State: Zip:

In Trust For/Beneficiary Designations

First Name* Last Name* MI
City State Zip



We will begin processing this request immediately after receiving it. A Member Services Representative may contact you for further information in order to process your application and a form requesting your signature may be forwarded to you soon to complete the application process.

Member Referral Program effective November 1, 2012; subject to change without notice. Cannot be combined with any other offer. Normal membership requirements apply. The Referral (invited member) must not be a current member of Qside. The Referral cannot be added as a joint party on an existing account. Upon meeting all qualifications, both the Original Member and Referral will each receive a $20 deposit into their respective share savings account upon the Referral's receipt of their new Qside member number (please allow 1-4 weeks). The Original Member must be in good standing with Qside FCU to qualify. Qside Federal Credit Union employees and volunteers are not eligible to participate. In the event that more than one Original Member invites the same person, the qualifying incentive will be paid to the Original Member named on the Referral's application.

By signing below, I/we agree to the terms and conditions of the Share Account Agreement and the Truth-in-Savings Disclosures (Rate and Fee Schedule) and to any amendment the Credit Union makes from time to time which are incorporated herein. I/we acknowledge receipt of a copy of the Agreement and Disclosures. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

Enter the code shown above:


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