Perks Checking Application

Membership

Not a member yet?

Go to penlancofcu.com and click “Become a Member” to continue.

Primary Member Information

Member Number, if known

Name of Primary Member *

Street Address *

City, State, Zip *

Mailing Address (if different)

Date of Birth *

Social Security Number *

Phone Number *

E-Mail Address *

Employer Name (or company you retired from) *

Occupation/Title *

Joint Owner Information

Name of Joint Owner

Street Address

City, State Zip

Mailing Address (if different)

Date of Birth

Social Security Number

Phone Number

E-Mail Address

Employer Name (or company you retired from)

Occupation/Title

Identification Information

Primary Member: Upload Driver's License, Passport, or State ID *

Click or drag & drop image here to upload

Primary Member: Upload Secondary ID (work badge, paystub, etc.) *

Click or drag & drop image here to upload

Joint Owner: Upload Driver's License, Passport, or State ID

Click or drag & drop image here to upload

Overdraft Services

Please complete the Overdraft Services Consent Form

Overdraft Services Consent Form

Debit Card and Check Ordering Information

Debit Card Order: *

Primary Member Only

Primary Member and Joint Owner

No Debit Cards

Check Order: *

Yes, I'd like a free starter pack of checks

No Checks

Thank you — your information has been received.

Thank you for your interest in adding a Perks Checking account.

You can expect to receive the necessary forms via our secure e-sign platform within the next business day. The email notification will include a passcode for accessing the e-signing process. Once you have completed the e-signature, we will promptly finalize your account opening.

Should you have any questions, please contact us at 717-569-9621 (option 2) or via email at memberservices@penlancofcu.com.