BUSINESS VISA CREDIT CARD APPLICATION

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person or business that opens an account. This means that when you open an account, we will ask for your name, address, date of birth, if applicable, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents. Married applicants may apply for a separate account.

Vantage West Membership

*

I am a Vantage West Credit Union business member.

APPLY BELOW OR CALL 1-800-888-7882.

- OR -

I am NOT a Vantage West Credit Union business member.

If you would a like a Business Banker to contact you, please provide us with your information.

Your Name *

Business Name *

Phone # *

Email Address

Preferred / Closest Branch *

Tell Us About Your Credit Needs

Requested Amount? * 🛈

Tell Us About Your Business

Legal Name of Business *

Business Street Address *

Business Address Line 2

City *

State *

Zip *

Tax Identification # *

Type of Business *

# Years in Business *

# of Employees *

Nature of Business *

Construction

Finance / Insurance

Manufacturing

Real Estate

Retail

Wholesale

Professional

Non-Profit

Other Other

Annual Business Revenue/Sales *

Annual Net Income *

Monthly Business Expenses *

Tell Us About Yourself

Authorizing Officer *

% of Ownership *

First Name *

M.I.

Last Name *

Home Street Address *

Home Street Address Line 2

City *

State *

Zip *

Are you a permanent citizen or a permanent resident alien? *

Date of Birth (MM/DD/YY) *

Gross Annual Income^ *

^Alimony, child support, or separate maintenance need not be included if you don't wish to rely on it.

Marital Status *

If Married, Spouse's Name

Number of Dependents *

Contact Information

Home Phone # *

Cell Phone #

Business Phone # *

Email Address *

Security Information

Social Security # *

Mother's Maiden Name *