Shell New Orleans FCU - Online Services

CREDIT CARD APPLICATION

Please provide all the requested information. When you have completed the form, click on the Submit button to send your application. You'll hear back from us in two to four working days.

NOTICE: Married Applicants may apply for a separate account. Check the appropriate box below to indicate the type of credit for which you are applying.

Individual Credit: Complete Applicant section. Complete the Co-Applicant section as follows:
(1) Information about your spouse if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI) or (2) If your spouse will use the Account.

Joint Credit: Provide information about both of you by completing Applicant and Co-Applicant sections.

Primary Applicant

Member No.
Last Name
First Name
Social Security No.
Date of Birth
Select One: Live with Relatives
Rent
Own/Buy
Other

Address
City
State
ZIP Code
Years There
Home Phone No.
E-Mail Address

Employer's Name
Employer's Phone No.
Job Start Date (month/year)
Years in
this profession
Gross Income
Hourly
Monthly
Annually
Job Title

Monthly Financial Obligations

Description Amount

Income verification is required; therefore, other information may be necessary.

Joint Applicant (if applicable)

Member No.
Last Name
First Name
Social Security No.
Date of Birth
Address
City
State
ZIP Code
Home Phone No.
E-Mail Address

Employer's Name
Employer's Phone No.
Job Start Date (month/year)
Gross Income
Hourly
Monthly
Annually
Job Title

Monthly Financial Obligations

Description Amount

Please note: Income verification is required; other information may be required.

Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested.

I certify that statements on this application are true and complete. I authorize any person, association, firm, or corporation to furnish, on request of this Credit Union, information concerning me or my affairs. (Sec. 1014, Title 13, U.S. Code makes it a Federal Crime to knowingly make a false statement on this application of a Federal Credit Union.)