Apply for a VISA Credit Card

What type of credit card are you applying for? *

Platinum
Classic

Select an Application credit type *

Individual
Joint

For INDIVIDUAL CREDIT You must complete the Applicant section about yourself and the Other section about your spouse if: (1) you live in or the the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI), (2) your spouse will use the account, or (3) you are relying on your spouse's income as a basis for repayment. For JOINT CREDIT, If you are applying with another person, complete the Applicant and the Other sections.

Name *

First

Middle

Last

Mothers Maiden Name *

CU Account Number *

Social Security Number *

Birth Date *

Home Phone *

Business Phone

Mobile Phone

Email *

Address *

City *

State *

Zip Code *

Employer *

Employer Address, City and State

Start Date

Position

What is your annual income? *

Do you have additional income? Please enter an annual amount.

What is the source of your additional income?

Checking Account Value in $

Savings Account Value in $

Do you own or rent? *

Own
Rent

Mortgage or Rent owed to: *

Mortgage Balance *

Monthly Mortgage or Rent payment *

Are you a US citizen? *

Do you currently have any outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit? *

Are you a co-maker, co-signer, or guarantor on any loan not listed above? *

Personal Reference Name *

First

Last

Personal Reference Relationship

Personal Reference Phone Number

Co-Applicants Name - Only fill out the below information if you are applying for joint credit with a spouse or partner. If you are not applying for joint credit then skip the rest of the boxes below and scroll down and click the submit button.

First

Middle

Last

Is this co-applicant a partner or spouse?

Partner
Spouse

co-applicants Mothers Maiden Name

co-applicants CU Account Number

co-applicants Social Security Number

co-applicants Birth Date

co-applicants Phone Number

co-applicants Email

Co-Applicants Address, City, State, Zipcode

Co-Applicants Employer

Co-Applicants Employer Address

Co-Applicants Employer Start Date

What is your position with your employer?

co-applicants Income. Enter an annual amount.

co-applicant: Do you have any additional income? Enter the annual amount.

co-applicants: What is the source of your additional income?

co-applicant: What is the value of your checking account in $

co-applicant: What is the value of your savings account in $

Co-Applicant: Do you own or rent?

Own
Rent

Mortgage or rent owed to who?

co-applicant: What is your mortgage balance if applicable

Mortgage or rent monthly payment

Are you a US citizen?

Are you a co-maker, co-signer, or guarantor on any loan not listed above?

Co-Applicant Personal Reference Name

First

Last

Co-Applicant Personal Reference Relationship

Co-Applicant Personal Reference Phone Number

You promise that everything you have stated in this request is correct to the best of your knowledge. If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter. You authorize the credit union to obtain credit reports in connection with this application for credit, or for any update, increase, renewal, extension, or collection of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. If you request, the credit union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to Federal Credit Unions or State Chartered Credit Unions insured by the NCUA. By submitting this form electronically you acknowledge and agree that you have received, read and agreed to the terms of the Credit Unions VISA Credit Card Agreement. Click here to view NJG FCU Credit Card Disclosure Information A condition of your account is your granting us a security interest in your share accounts. By submitting this form, you grant us a security interest in all individual and joint share and/or deposit accounts you have with us now and in the future to secure your credit card account. Shares and deposits in an Individual Retirement Account and any other account that would lose special tax treatment under state or federal law if given as security are not subject to this security interest. When you are in default we may apply the balance in these accounts to any amounts due under credit card agreement. *

A condition of your account is your granting us a security interest in your share accounts. By submitting this form, you grant us a security interest in all individual and joint share and/or deposit accounts you have with us now and in the future to secure your credit card account. Shares and deposits in an Individual Retirement Account and any other account that would lose special tax treatment under state or federal law if given as security are not subject to this security interest. When you are in default we may apply the balance in these accounts to any amounts due under credit card agreement. *

Name

Important Information About Opening Your Account at NJ Gateway Federal Credit Union (USA Patriot Act Sec. 326)

Federal Law requires that all financial institutions obtain, verify and record information that identifies each person who opens an account. Therefore, when you open an account, we will ask for your name, address, date of birth and other information that will enable us to identify you. We may also ask to see your government issued identification or other identifying documents. NJ Gateway FCU is committed to preserving and protecting the confidentiality of its members’ personal information. The credit union will maintain strong security controls to ensure that personal member information is protected from unauthorized use.

Apply for a VISA Credit Card

Important Information About Opening Your Account at NJ Gateway Federal Credit Union (USA Patriot Act Sec. 326)

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