Become a Member | Members 1st of NJ FCU

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Current Member's Name

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TIN Certification and Backup Withholding Information

Under penalties of perjury, I certify that: (1) the number that I will provide is my correct taxpayer identification number (or I am waiting for a number to be issued), (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and (3) I am a U.S. person (including U.S. resident alien).

I understand and agree to the above statements*

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Membership Application

Membership Application

TIN Certification and Backup Withholding Information