Texas DPS Credit Union
Debit Card Application
Member Information
Account #:
Member Name:
Mailing Address:
City:
State:
Zip:
Home #:
Work:
Cell:
NOTE: You must list at least 2 numbers above to process card.

 

Joint Owner Information (If Applicable)
Joint Owner:
Street Address:
City:
State:
Zip:
Home #:
Work:
Cell:
NOTE: You must list at least 2 numbers above to process card.

 

By signing below, you certify that the information on this application is complete, true, and submitted for the purpose of obtaining a Debit Card. If approved for the Debit Card, you acknowledge receipt of and agree to the terms of the Debit Card Agreement. Click Here for Terms and Conditions
X
SIGNATURE OF MEMBER
DATE
X
SIGNATURE OF JOINT OWNER (If Applicable)
DATE
 
Mail To:
621 W. St. Johns Ave
Austin, TX 78752
Fax To:
1(512)459-3533
For Credit Union Use Only -
Approved By:
New Account:
Date:
Checking Status:
NSF:
ACH:
Loan Status:
HB/BO
Other Account:
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NCUAFederally
Insured by
the NCUA
Equal Opportunity LenderEqual
Opportunity
Lender

Texas DPS Credit Union | 621 W. St. Johns Ave | Austin, TX 78752
Mailing Address | PO Box 15346 | Austin, TX 78761
Toll Free 1(877)252-9199 | Austin (512)452-5211

Routing# 314977324