Instant Cash Card/Express Lane Money Card Application
Applying is as easy as 1, 2, 3...

  1. Print out the application.
  2. Fill in and sign.
  3. Either mail, bring, or fax the application to:
    Please allow 7-10 business days
    to receive and activate your card.

If you are a member, you can submit an online application for an ELM card by logging into Tellernet and clicking on the button labeled Online Forms.

HIWAY FEDERAL CREDIT UNION
111 Empire Dr
St Paul MN 55103-1899
Fax (651) 291-2574

Name ________________________ Member # _____________________
Instant Cash Card  
Express Lane Money Card  
Access:
Savings
Checking
Both
Address _____________________ City ________________________
State _________ Zip ______________
The purpose for your request (choose one):
Initial request
Lost/Stolen card
Add joint owner to card
Magnetic strip no longer working
Would like new card design
Other ______________

SignatureX_____________________________________Date_____________

* If you have a joint account, the joint tenant must also sign this application. *

Joint Tenant’s SignatureX_____________________________________Date_____________

Check here if you wish to have a card issued to your joint tenant.

* If the card will be issued to a minor, the parent or legal guardian must sign below:

AMENDMENT TO HFCU POLICY FOR CHECKING AGREEMENT AND ELM/INSTANT CASH CARD APPLICATION

The member applying is A MINOR. The parent or legal guardian of the account holder must be joint on the account and is responsible for ALL TRANSACTIONS on this account.

Parent/Legal Guardian’s SignatureX_____________________________________Date_____________

Member Number_______________

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