Holston Home Page

Services Application


6207 Highland Place Way, Suite 101, Knoxville, TN 37919
Phone: 865-558-3117  •   Fax: 865-558-0016

 
Please complete the form below, submit it, and you will receive a letter within three or four business days concerning your request. You may also call us at 865-558-3117 or visit our branch for more information or to complete your request immediately.
Account Request
I am interested in opening the following Holston Methodist FCU accounts:
 
Share Account Certificate of Deposit CU Succeed Teen Club Account
Share-Draft Checking Account Christmas / Vacation Club Account HSA
 
I understand that completing and submitting this form will not open a Holston Methodist Federal Credit Union account, but indicates my desire to establish an account with Holston Methodis FCU. Upon submission of this form, I understand that a Holston Methodist Federal Credit Union Member Service Representative will contact me regarding my request to open an account with the credit union.
Services Request

I am applying for the following services:

 
E-Statements VISA Debit Card
By submitting this request, I acknowledge that I will receive my statements electronically as E-Statements.  
E-Statement Disclosure  
Personal Information
Name:
Account Number:
 
 
Phone Number:
Cell Number:
Work Number:
Address: 
Apt/Suite:
City, State, Zip:
 
Email:
Social Security Number:
Birth Date:
 
Employer: 
Additional Comments:

Joint Personal Information
Joint Name:
Joint Account Number:
 
 
Phone Number:
Cell Number:
Work Number:
Address: 
Apt/Suite:
City, State, Zip:
 
Email:
Social Security Number:
Birth Date:
 
Employer: 
Additional Comments:
Beneficiary Information
Payable on Death Beneficiary:
Address: 
Apt/Suite:
City, State, Zip:
Social Security Number:
Birth Date:
 
     
Submit Application
By submitting this application, I authorize Holston Methodist Federal Credit Union to obtain a credit bureau report, if necessary, to determine credit worthiness. In order to protect your identity, Holston Methodist FCU will send you the necessary forms to complete the service you requested.