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I hereby certify that the information that I have provided is correct. I hereby make application for membership in and agree to conform to the bylaws, rules, regulations, and policies of the Georgetown University Alumni and Student Federal Credit Union (GUASFCU). I further certify that I have received and read the GUASFCU Truth in Savings and EFT Disclosure. I agree to be bound by its terms and conditions. I understand that this agreement may be amended by GUASFCU from time to time. Under penalties of perjury, I certify (1) that the number shown in the Social Security Number field on this form is my correct tax payer identification and (2) that I am not subject to backup withholding either because I have not been notified that I am subject to backup withholdings as a result of a failure to report all interest and dividends, or the International Revenue Service (IRS) has notified me that I am no longer subject to backup withholding. If either (1) or (2) is incorrect, you must inform GUASFCU before signing below.