337 N. Main, Sikeston, MO 63801
I request Division 10 Highway Employees’ Credit Union Debit Mastercard as indicated below. You are authorized to check my credit, if necessary.
I have been instructed by Division 10 Highway Employees’ Credit Union to memorize my Personal Identification Number (PIN), never to write it on my Card(s), and never to tell anyone my PIN except people who are authorized to sign on my account, and even then disclosure is at my discretion.
By typing my name below, I hereby certify that all statements made, on the entire form, are true and complete to the best of my knowledge and that I have read and agree to the Electronic Fund Transfers Agreement and Disclosure and Electronic Signature Terms.