Fill out and print the application. Once you’ve completed it, mail it or bring it to our office with a check for your membership fee and opening deposit.

MEMBER APPLICATION

Member Information

Name _____________________________________________________

Address/City/State/ZIP______________________________________________

________________________________________________________________________________________________________________________________

SSN/TIN__________________________ Phone________________________

Date of Birth________________ Driver’s Lic. #___________________________

Present Employer (name & address) ________________________________________________________________________________________________________Phone ___________________

I qualify for membership in the Episcopal Community Federal Credit Union because: _____________________________________________________________________________

Ownership of Account

ٱ Individual ٱ Joint – Husband & Wife ٱ Joint Account

Joint Owner Name _____________________________________________________

Address/City/State/ZIP______________________________________________

________________________________________________________________________________________________________________________________

SSN/TIN__________________________ Phone________________________

Date of Birth________________ Driver’s Lic. #___________________________

Present Employer (name & address) ________________________________________________________________________________________________________Phone ___________________

Type of Account

Please open the following:

ٱ Primary Share (Savings) required for membership in credit union.

$10.00 one-time membership fee, plus min. $25.00 deposit.

ٱ Share Draft (Checking)*

Min. $100 opening deposit.

ٱ MasterCard Debit Card

Free with checking account.

ٱ Telephone Banking

Free with checking account.

*We screen all new accounts through ChexSystems account verification service

___________________________________________________________________________

Thank you for applying for Credit Union membership. Pursuant to the USA PATRIOT ACT, you will need to provide us with a copy of a government issued photo ID (such as driver’s license), and a signed membership application & agreement, which we will pre-fill with the data received from this application and mail to you.