Debit Application

24 Hour Audio Response Line (316) 978 3121

Campus Credit Union

Wichita State University

1 Flex Teller

2 Welcome to CCU

3 Products & Services

4 Loans

5 Loan Specials

6 Automotive Resources

11 Privacy Notice & Disclosure

12 Website Privacy & Security

13 Security & ID Theft

14 News & Articles

My CU Credit Card Information

Debit Card Application

Debit Card Application

Primary Cardholder Information
First Name:
Middle Initial:
Last Name:
Social Security No. (xxx-xx-xxxx)
Checking Acct. No.
Additional Cardholder Information
First Name:
Middle Initial:
Last Name:
Social Security No. (xxx-xx-xxxx)

Please select appropriate request:
New Card:		Card Reissue:		Pin Reissue:

In order to assure that all of our member account information remains confidential, we ask that you verify the following information:
Date and amount of your last account deposit. (mm/dd/yyyy)	Date	$ Amount
Approximate date that your saving account was opened. (mm/dd/yyyy)		Date

Cardholder Authorization and Agreement

By submitting this application, you authorize us to obtain a consumer credit report and you verify that the information on the application is true and correct. You further agree to the terms and conditions of electronic funds disclosure from Campus Credit Union.

NCUA Equal Housing Lending

Campus Credit Union, 1845 N. Fairmount, Box 65, Wichita, KS 67260-0065
Voice: (316) 978-3666 - Fax: (316) 978-3523
Lobby Hours: M-Th 9:00 a.m. - 4:30 p.m. Drive-Thru: M-F 7:30 a.m. - 5:30 p.m.