AA Credit Union

3. I am a family or permanent household member of a current American Airlines Credit Union member. Please indicate relationship to sponsor member: Spouse Child Grandchild Sibling Parent Grandparent Permanent Household Member Sponsor Member's Name: Sponsor Member's Account Number: Note: Applicant must provide Sponsor Member's Account number and name. 4. I am an employee or retiree of the Air Transportation Industry. Employer Information (of Primary Owner) Employer: Employee #: Occupation/Job Title: Gross Income: Years Employed: How did you hear about us?: Promo Code: JOINT Owner Information Add Joint Owner Remove Joint Owner ( Joint owner must be within American Airlines Credit Union field of membership and must sign the application.) Existing Account Number: First Name: Middle: Last Name: Female Male Physical Street Address: (No P.O. Boxes) City: State: ZIP: Country: Rent Own Number of years: Mailing Address: (if different from physical street address) City: State: ZIP: Country: Date of Birth: / / SS #/ITIN: Government-Issued ID/Driver's License #: Issuing State/Country: Issue Date: Expiration Date: Driver's License State ID Passport Resident Alien Card Please complete and submit this application to any American Airlines Credit Union branch location. Or, mail the application to the with initial minimum deposit of $6.00 (includes the one-time $1.00 membership fee) in check or money order (please do not mail or call (800) 533-0035. PRIMARY Owner Information Account Modification Existing Account Number: First Name: Middle: Last Name: Female Male Physical Street Address: (No P.O. Boxes) City: State: ZIP: Country: Rent Own Number of years: Mailing Address: (if different from physical street address) City: State: ZIP: Country: Date of Birth: / / SS #/ITIN: Government-Issued ID/Driver's License #: Issuing State/Country: Issue Date: Expiration Date: Driver's License State ID Passport Resident Alien Card Citizenship (select one): U.S. Citizen Permanent Resident Non-permanent Resident (requires W-8 BEN and TIN). Home Phone: ( ) Work Phone: ( ) Cell Phone: ( ) Email Address: Mother's Maiden Name: Primary Owner Eligibility Information I am eligible to join American Airlines Credit Union in one of the following ways: 1. I am an employee or retiree of legacy American Airlines or Envoy. Employee Number 2. I am an employee or retiree of legacy US Airways. Employee Number Account # Share ID FOR OFFICE USE ONLY American Airlines Federal Credit Union Member Application l Account New Member

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