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ONLINE MEMBERSHIP APPLICATION
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Federal Law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. Therefore when you open a new member account, we will ask you for your name, address (street), date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents. We may also use a third party agency to verify the information you provide.
Instructions:
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1.
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Fill out the form completely and accurately.
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2.
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Review the form and print out two (2) copies, then click submit.
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Keep one for your files and send the other copy with your original signature to our office.
Click here for our office locations. |
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Send a check for $25.00 with your form to our office, and/or if you want to fund your credit union accounts through automatic payroll deduction, copy down the appropriate form, fill it out, sign it and send it in with your membership application.
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Include a copy of one of the following valid/current documents with your copy to the office:
- State Driver’s License or State I.D. (with picture), or
- Passport (with picture), or
- Company badge (with picture), or
- Student Identification (with picture)
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In order to open your account and process your payroll deduction immediately, you must fax us a copy of the membership application and payroll deduction form with your signature on both forms.
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