Debit MasterCard Application

Your Debit Card can be used for purchases and withdraw cash from your savings or checking at an ATM.
You will be charged a minimal service fee from the ATM vendor.
Your debit card has a cash withdrawal limit of $300 and $1500 for purchases. Amounts will reset within a 24-hour period.
Each user must have his or her own card and will only have access to the accounts which he/she are authorized to use.
Debit Card replacement fee - $15.00

Keystone Credit Union Account #

Full Name

Address City State & Zip Home Phone

Work Phone Cell Phone Social Security Number Date of Birth

Opt-in or Opt-Out Form

What is an Overdraft? An overdraft occurs when you do not have enough money in your account to cover a transaction. We can pay the item by automatically transferring the funds from your savings account.
We will NOT authorize and pay overdrafts for the following types of transactions, unless you request us to do so (See Authorization Below): ATM transactions & Point of Sales (POS) everyday debit card transactions

I DO want Keystone Credit Union to authorize and pay overdrafts on my everyday ATM and point of sales debit card transactions I DO NOT want Keystone Credit Union to authorize and pay overdrafts on my ATM and point of sale debit card transactions

By Signing below, I/we agree to the terms and conditions of the Membership and Account Agreement, Truth-inSavings Rate and Fee Schedule, Funds availability Policy Disclosure, if applicable, and to any amendment the Keystone Credit Union makes from time to time which are incorporated herein. I/We acknowledge receipt of a copy of the Agreement and Disclosures applicable to the accounts and services requested herein. I/We are hereby applying for the Keystone Credit Union Debit MasterCard and acknowledge that I/We agree to the terms and conditions of the Debit MasterCard Agreement and the Electronic Services and Information Disclosures and may be subsequent changes in terms and conditions that may occur. Request is upon approval of our application by the issuing financial institution.

Date

Authorized Signature

Sign Above
Clear Signature

Submit Form

We are the KEY to your financial needs

Debit MasterCard Application

Opt-in or Opt-Out Form

For Fraud, Lost of Stolen Cards

Contact

Hours

Membership

Tools

Resources

OnlineBanking

We are the KEY to your financial needs

Debit MasterCard Application

Opt-in or Opt-Out Form

For Fraud, Lost of Stolen Cards

Contact

Hours

Membership

Tools

Resources