Application for Additional Services

NOTE: This application is for existing Rivermark members only. If you are not a member, please submit a membership application.

Thank you for using Rivermark’s online application for additional accounts. You may use this form to apply for a Certificate of Deposit, Holiday & Tax Account, and other convenient services.

• To apply for a loan, please submit a loan application.
• To apply for a mortgage, please submit a mortgage application.
• To sign up for Online Banking, click here.
• To open a checking or money market account, please call us at 503-626-6600 or 800-452-8502

Please provide all the requested information. When you have completed the form, press the SUBMIT button to send your application. The information is automatically encrypted for security before being transmitted. You’ll hear back from us the next business day after we receive your application regarding the status of your application.

Please read the Membership and Account Agreement and Truth-in-Savings Disclosure.

Member Information	Joint Owner (if desired)
Member Number*: Member Name*: Social Security Number*: Drivers License Number*: Date of Birth*: Email Address: Address*: City*: State*: Zip*: Daytime Phone*:	Joint Owner Name: Social Security Number: Drivers License Number: Date of Birth: Address: City: State: Zip:     *required items
Services Requested
Certificate of Deposit Term: Select One 3 Months 6 Months 12 Months 18 Months 24 Months 36 Months 48 Months 60 Months Transfer minimum $500 opening deposit from: Select One Regular Shares Money Market Account Checking Other if other: Opening Amount:	Holiday & Tax Term: Select One 3 Months 6 Months 12 Months 18 Months 24 Months 36 Months 48 Months 60 Months Transfer minimum $5 opening deposit from: Select One Regular Shares Money Market Account Checking Other if other: Opening Amount:
VISA CheckCard (checking account required for this debit card) ATM Cash Card Telephone Teller Comments:

Authorization

By signing or submitting this application, I/we agree to the terms and conditions of the Membership & Account Agreement, Truth-in-Savings Disclosure, Funds Availability Policy. If applicable, and 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 applicable to the accounts and services requested herein. I hereby certify that the information I have given on this application is complete and true to the best of my knowledge.