• 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 one of the branches or you may mail the card to the following address:

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