PINK Visa Credit Card

PINK Visa Credit Card

Apply Online - It's Safe, Secure & Easy

To begin, please fill out the fields in the form below. One of our representatives will contact you within one business day to complete the process.

Please view our Privacy Policy for more information.

Please fill out this form in its entirety in order for us to expedite your request!

  • Are you a new customer?

    OK Are you a new customer? is required
  • OK If applying for a limit increase please include the amount requested is required

Personal Information:

  • OK Name is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • Home Phone

    - -
    OK Home Phone is required
  • Daytime Phone

    - -
    Optional OK Daytime Phone is required
  • What is the best time of day to reach you?

    OK What is the best time of day to reach you? is required
  • OK Mother's Maiden Name is required
  • OK Email is required
  • Employment Status

    OK Employment Status is required

Employment Information:

  • OK Employer is required
  • OK Employer’s Address is required
  • OK Employer’s State is required
  • OK Employer’s Zip is required
  • OK Job Description is required
  • OK Hire Date is required
  • OK Regular annual income is required
  • OK Any additional income is required
  • Is listed income

    OK Is listed income is required

Address Information:

  • OK Residential Address (Not a P.O. Box) is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Use residential address for mailing address

    OK Use residential address for mailing address is required
  • OK Mailing Address (if different than above) is required
  • OK City is required
  • OK State is required
  • OK Zip is required

Co-Borrower Information:

  • Number of Co-Borrowers on this Account

    OK Number of Co-Borrowers on this Account is required

Co-Borrower #1:

  • OK Name is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • Home Phone

    - -
    OK Home Phone is required
  • Daytime Phone

    - -
    OK Daytime Phone is required
  • OK E-mail is required
  • OK Residential Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK Mother’s Maiden Name is required
  • Employment Status

    OK Employment Status is required
  • OK Employer is required
  • OK Employer’s Address is required
  • OK Employer’s State is required
  • OK Employer’s Zip is required
  • OK Job Description is required
  • OK Hire Date is required
  • OK Regular annual income is required
  • OK Any additional income is required
  • Is listed income

    OK Is listed income is required

Co-Borrower #2:

  • OK Name is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • Home Phone

    - -
    OK Home Phone is required
  • Daytime Phone

    - -
    OK Daytime Phone is required
  • OK Mother’s Maiden Name is required
  • OK E-mail is required
  • OK Residential Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Employment Status

    OK Employment Status is required
  • OK Employer is required
  • OK Employer’s Address is required
  • OK Employer’s State is required
  • OK Employer’s Zip is required
  • OK Job Description is required
  • OK Hire Date is required
  • OK Regular annual income is required
  • OK Any additional income is required
  • Is listed income

    OK Is listed income is required

Additional Information:

  • OK How long have you lived in your current residence? is required
  • Do you rent or own?

    OK Do you rent or own? is required
  • OK What is your current rent/mortgage payment? is required
  • Optional OK Comments is required

Security Code:

  • OK is required
  • Vacationland FCU - Sandusky, OH reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, I/we grant full permission to do so.