Investment Application Step 1 of 5 - Applicant Information 0% Are you a Porcupine Credit Union Member?*YesNoMember Number*Name* First Last Date of Birth* Social Insurance NumberFormat: XXX-XXX-XXXAddress* Street Address Address Line 2 City Province Postal Code Personal Phone*Work PhoneFaxEmail Address* Co- Borrower?Will this be a Joint Application?*NoYesCo-Applicant Name* First Last Co-Applicant Social Insurance NumberCo-Applicant Date of Birth* Purpose of InvestmentWhat type of investment are you interested in?*RRSPRESPGICMutual FundsRRIFOtherSpecify*Total Investment Amount* Investment KnowledgeHow would you rate your investment knowledge?*LowMediumHighWhat is the intended time for this account?*1 - 3 Years3 - 5 Years5 - 10 YearsWhat is the level of your risk tolerance?*LowMediumHigh AuthorizationYou will be contacted by a Loans Officer within 24 hours or the next business day.Please contact me at:*Personal Phone NumberWork Phone NumberEmail AddressOtherSpecify*CommentsPhoneThis field is for validation purposes and should be left unchanged.