QuickTeller: Audio Response Application   Applicants must have a Credit Union Checking Account in good standing in order to apply. I request that the Baltimore County Employees Federal Credit Union process my application for a QuickTeller Account Number and corresponding Personal Indentification Number (PIN) in order for me to access QuickTeller Audio Response (phone banking) service.   * required fields   Member Account Number *     First Name *     Middle Initial     Last Name *     Address *     Additional Address     City *     State *     Zip *     Email Address     Home Phone *     Work Phone       Additional Access Accounts   In addition to my account number listed above, I am also a joint owner on the following accounts(s) listed below. I understand that access to these accounts will be limited to account inquiries, obtaining balances, and making transfers into those accounts through the use of the QuickTeller Audio-Response service offered by the Baltimore County Employees Federal Credit Union. Transferring money out of Family Member accounts is not allowed unless the Family Member also has QuickTeller Audio-Response service and has listed my account for access. I hereby agree to indemnify and hold harmless the Baltimore County Employees Federal Credit Union from any and all claims and demands of any nature as a result of the use of QuickTeller Audio- Response service. Note: Family Member accounts, Traditional Retirement, and Roth Retirement/Conversion Accounts are also accessible through this service.   I would like to access the following accounts by phone: * Traditional IRA Roth IRA Roth Conversion IRA Not Applicable     Family Member Accounts   Full Name   Account Number           Personal Identification Number   PIN *     I hereby request the above Personal Identification Number (PIN) be issued to me to access my account(s) at Baltimore County Employees Federal Credit Union through the QuickTeller Audio-Response system. I further understand that the use of my QuickTeller PIN by me or by any joint owner of my account acknowledges receipt and acceptance of all the terms and conditions of the QuickTeller Audio Response Agreement and Disclosure published in the Credit Union’s Important Disclosures booklet which is also available on the Credit Union’s website, www.bcefcu.com.     Applicant Signature(s)   The signing of this application constitutes acceptance of all the terms and conditions of the QuickTeller Agreement and Disclosure in the Important Disclosures booklet. To view and print for your records, click here. The booklet is also available in print form at the Credit Union office. I have read and accept all the terms and conditions of the QuickTeller Agreement and Disclosures. * Witness our hands and seal on the date below.   Signature of Primary Member (Seal) *   Date     Signature of Joint Owner, if any (Seal)   Date       Baltimore County Employees Federal Credit Union 23 W. Susquehanna Avenue • Towson, MD 21204 • 410-828-4730 • 1-800-234-4730 • FAX 410-828-0325   For Office Use Only:   Verified By: Date: Processed By: Date: