Credit Card Application

Credit Card Information

Please check here to indicate your intent to be obligated for this loan as a borrower.

Basic Information
Contact Information
Marital Status

You must answer this question if you are applying for joint credit, secured credit, or if you live in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI).

Notice for married applicants:
You may be required to provide additional information about your spouse before finalizing your loan if any of these situations exist:

  1. Your spouse is a co-borrower
  2. Your spouse will use the account
  3. You are relying on your spouse's income to repay the account
  4. If the credit will be secured by property located in the community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI)

Please indicate your number of dependents.

Residence Information
Income Information

Notice: Alimony, child support or separate maintenance income need not be revealed if you do not want it considered as a basis for repaying this obligation.

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Please expect a phone call from a First Basin Credit Union member representative to complete your application.