Name *

First Name

Last Name

Phone *

(###)

###

####

Date *

MM

DD

YYYY

Type of Business *

Sole Proprietor

Limited Liability Company (LLC)

Partnership

Corporation

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have the following documentation? Please check all that apply:

Copy of your SS-4 Form from the IRS (Your company's EIN Number)

Copy of your Business Registration (Certificate of Formation or Certificate of Incorporation

Copy of your Business Operating/Partnership Agreement (If applicable)

Copy of all owners Driver's License or State Issued Identification

FRFCU requires the following accounts be established during your onboarding process. Personal Membership ($10), Business Membership ($10) and Business Checking Account ($25). Please acknowledge that you'll need a minimum of $45 to establish your relationship with FRFCU. *

Yes

No

Terms & Conditions *

I authorize the Minority Media Alliance DBA 420NJEvents to share my personal information with the Financial Resources Federal Credit Union. I further authorize 420NJEvents to contact me via phone, text or email for any promotional events, services or information that they are providing to their network. All of the information stated in this application is declared to be a true representation of the facts and made for the purpose of obtaining a cannabis banking account. I HAVE REVIEWED THE ABOVE DISCLOSURE.

By clicking the submit button, I agree to terms & conditions