Serving the employees of Kimberly Clark Corporation since 1947!
1520 N Second Street • Memphis, TN 38107
901-521-4646 • 800-462-7777
Fax: 901-521-4644 • email us
RT#: 284084813
Office Building
1520 N Second Street
Memphis, TN 38107
901-521-4646 • 800-462-7777
Fax: 901-521-4644 • email us
RT#: 284084813
Office Building
1520 N Second Street • Memphis, TN 38107
901-521-4646 • 800-462-7777
Fax: 901-521-4644 • email us
RT#: 284084813
Forms & Applications

Membership Application


First Name: *
Initial:
Last Name: *
Suffix:
Mother's Maiden Name:
(for security purposes)
*
Address: *
City: *
State: * Zip: *
Home Phone: *
Cell Phone:
Date of Birth: *
SSN or Tax ID#: *
Driver's License#
and State:
Driver's License
Issue Date:
Driver's License Expiration Date:
Eligibility for
Membership:
*
Place of Employment:
Unit#:
Payroll ID:
Hire Date:
Work Phone:
Email:
Work Address:

Joint Account Owner 1

First Name:
Initial:
Last Name:
Suffix:
Mother's Maiden Name:
(for security purposes)
Address:
City:
State: Zip:
Home Phone:
Cell Phone:
Date of Birth:
SSN or Tax ID#:
Driver's License#
and State:
Driver's License
Issue Date:
Driver's License Expiration Date:
Place of Employment:
Work Phone:
Email:
Work Address:

Joint Account Owner 2

First Name:
Initial:
Last Name:
Suffix:
Mother's Maiden Name:
(for security purposes)
Address:
City:
State: Zip:
Home Phone:
Cell Phone:
Date of Birth:
SSN or Tax ID#:
Driver's License#
and State:
Driver's License
Issue Date:
Driver's License Expiration Date:
Place of Employment:
Work Phone:
Email:
Work Address:

Beneficiary Designation

First Name: *
Initial:
Last Name: *
Suffix:
Address: *
SSN: *
City: *
State: * Zip: *
Phone Number: *

Additional Services
Check if Desired

Share Draft/Checking Account
ATM Card/Debit Card
Credit Card

New Member Questionnaire

As part of our member identification program and to insure we maintain the proper security for your account, please complete the following information.


Will you have direct deposit? Yes   No
What dollar amount per month do you anticipate for ACH?  
Will you be using our wire transfer service? Yes   No
What is your annual household income? 0 - $30,000
$30,00l - $50,000
$50,001 - $75,000
$75,000- $100,000
$100,001 +
Will you have cash deposits or withdrawals over $2,000? Yes   No
If yes, how many do you anticipate per month?  
What do you anticipate as your average monthly balance?  
Do you plan on using online banking/bill payment services? Yes   No