Member InformationFull Name *First NameLast NameAddress *Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeEmail AddressPhoneArea CodePhone NumberAccount InformationIs this an IRA or regular certificate? * IRA RegularIf an IRA certificate, will this be a current or prior year contribution? Current PriorWill this certificate be joint? * Yes NoIf "Yes" enter joint owner's nameJoint Owner's Social Security NumberCertificate DetailsShare Certificate Term * 3 month ($500 minimum) 6 month ($500 minimum) 12 month ($500 minimum) 18 month ($500 minimum) 24 month ($500 minimum) 36 month ($500 minimum) 48 month ($500 minimum) 60 month ($500 minimum) Share Certificate Amount *Please take Share Certificate Amount from my * S1 Savings S6 IMMA S8 Checking S18 Checking S28 Checking S38 Checking When dividends are paid on this Share Certificate, how would you like them distributed? * Send me a check Transfer to my savings Transfer to my checking Add back into my certificate *Required fieldShare Certificate rates are subject to change weekly. Forms submitted by 10 am (EST) on business days will be set up on the day submitted with that day's rate. Forms submitted after that time, or after our normal business hours, may not be set up until the next business day. If the amount is $10,000 or more, dividends will compound monthly. For amounts less than $10,000 dividends compound annually. See our rates page for current rates. Once a form is submitted, an actual certificate will be processed and mailed to the address on the account. For complete share certificate disclosure prior to receiving the document, please call or visit your nearest Partners 1st office.After submitting the following information, a Partners 1st Member Service Representative will contact you personally and complete your Share Certificate request with you.
