ElectroCoop

Personal Information
First Name
Second Name
First Last Name
Second Last Name
Gender		Male Female
Social Security		- -
Date of birth		Day Month Year
Identification
Identification Type		License Passport
Number
Issued Date		Day Month Year
Expiration Date		Day Month Year
State
Physical Address


Number

Apartment
City
State
Zipcode		-
Postal Address

Same Physical?
Line 1
Line 2
City
State
Zipcode		-
Other Information
Ocupation
Employer
Personal Phone		() -
E-Mail

Security Code
		I accept the terms and conditions

What you need to start?

Social Security
Driver license
Personal Information: Telephone, postal and physical address, email
Account and routing number (ABA rounting)

ElectroCoop not insured by the federal government, instead of shares and deposits are insured by the Public Corporation for the Supervision and Insurance of Puerto Rico Cooperatives (COSSEC) to a maximum of $ 250,000.00. If you have any problem to complete the process of opening, contact with us call (787)000-0000 or via email at electrocoop@gmail.com

ACCEPTED APPLICANTS who ElectroCoop in complete agreement with the Fair Credit Reporting Act to obtain information from your credit profile and / or Trans Union. The information obtained will be used only to confirm your identity and therefore should not affect your credit score.