GEORGETOWN UNIVERSITY

ALUMNI AND STUDENT

FEDERAL CREDIT UNION

A Georgetown Tradition

ATTENTION: MEMBER SERVICE NEW ACCOUNTS

Thank you for applying to open an account with the Georgetown University Alumni and Student Federal
Credit Union. Please carefully read the instructions on this page to ensure your new account is processed
in a timely manner.
1) Please fill out this form in its entirety.
2) Photocopy 2 photo IDs (one being a non-expired government issued ID) and a copy of your
signature onto this sheet or onto a blank sheet of paper.
3) Email the completed form to online.accounts@guasfcu.com
If you have any questions, please feel free to contact Credit Union Member Services at (202) 687-8616,
or via e-mail at help@guasfcu.com.
Full Name: __________________________________
Birth Date: __________________________________
Email address: _______________________________
Address: ____________________________________
____________________________________________
____________________________________________
Phone number: _______________________________
Social Security Number: ________________________

I hereby certify that the information that I have provided is correct. I hereby make
application for membership in and agree to conform to the bylaws, rules,
regulations and policies of the Georgetown University Alumni and Student Federal
Credit Union (GUASFCU). I further certify that I have received and read the
GUASFCU Truth in Savings EFT Disclosure. I agree to be bound by its terms and
conditions. I understand that this agreement may be amended by GUASFCU from time
to time. Under penalties of perjury, I certify (1) that the number shown in the Social
Security Number field on this form is my correct tax payer identification and (2) that I
am not subject to backup withholding either because I have not been notified that
I am subject to backup withholdings as a result of a failure to report all interest and
dividends, or the International Revenue Service (IRS) has notified me that I am no
longer subject to backup withholding. If either (1) or (2) is incorrect, you must inform
GUASFCU before signing below.

Signature: ______________________________
Date: ______________________________
Photocopy your IDs and signature onto this page or attach your photocopy as a separate page.

3700 O Street NW Washington, DC 20057 (202) 687-8616 Fax (202) 338-7635

www.guasfcu.com