Investment Application

Wasatch Credit Investment Application

Fill out the form below or contact Ashley to get started with your investment today

Personal Information

Full Name

Social Security Number

Individual or Joint

Date of Birth

Driver's License Number

Joint Holder Full Name (If Applicable)

Joint Holder Social Security Number (If Applicable)

Joint Holder Date of Birth (If Applicable)

Joint Holder Driver's License Number (If Applicable)

Street Address

City

Postal Code

Street Address 2

Select State

Primary Phone

Secondary Phone

Investment Certificate Options

12 Month (6.00%)

36 Month (6.25%)

60 Month (6.75%)

Beneficiary 1 Full Name

Beneficiary 1 Phone Number

Beneficiary 1 Address

Beneficiary 2 Full Name

Beneficiary 2 Phone Number

Beneficiary 2 Address