IMPORTANT MESSAGE REGARDING OUR DOUGLASVILLE BRANCH

For the protection of our members and staff, our Douglasville Branch Lobby located at 11490 Veterans Memorial Hwy Douglasville will be closed beginning Monday, March 16, 2020, until further notice. The drive-through at this location and ATM remain open for transactions. Our branch in Tucker, Contact Center and Lending Team remain open to serve you. Please take precautions to keep you and your family safe and well.

Secured VISA Application

Please read over the Consumer Credit Card Agreement.
Agreement












 







IF less than 1 year at current address



 



Marital Status

Married
Single
Divorced
 
Employment Information




Pay Frequency

Weekly
Bi-Weekly
Semi-Mo.
Monthly
 






References






 



Other Information About You
Applicant
If you answer "YES" to any question other than #1, explain below
1. ARE YOU A U.S. CITIZEN OR PERMANENT ALIEN?

Yes
No
 
2. DO YOU CURRENTLY HAVE ANY OUTSTANDING JUDGEMENTS OR HAVE YOU EVER FILED FOR BANKRUPTCY, HAD A DEBT ADJUSTMENT PLAN CONFIRMED UNDER CHAPTER 13, HAD PROPERTY FORE CLOSED UPON OR REPOSSESSED IN THE LAST 7 YEARS, OR BEEN A PARTY IN A LAWSUIT?

Yes
No
 

Saving Secured Card Pledge
Secured Pledge
Signature


VISA Account Updater
VISA Updater OPT OUT
Security
  captcha code for visual authentication  letter X number 4 letter P number 3