• Provide member (account) number and number of ATM cards
• Provide Primary member and Joint member information
• Current mailing address, phone number and work number
• Date of birth

2. Mark which type of accounts you currently have with MAX.

• Sign and date the application.

3. Carefully read the Notice and fill in the areas noted.

4. Sign and date the application.

• You must have a witness sign and date the application.

After you have read and agreed to the notice, you may send the application to a MAX branch or mail the application to the following address:

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