BENEFITS PLUS ENROLLMENT REQUEST
Primary Member Information
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Joint Member Information
(If no joint member, skip to Page 3)
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Heroes Program
Are you enrolled with MCCU's Heroes Program?
Yes
No
Disclaimer
By enrolling in the Benefits PlusĀ® Membership, I understand that $5.95* will be debited from my account on the last day of each month.
Which account would you like the membership fee deducted from?
Regular Savings
Regular Checking
Investment Checking
* Fee for members enrolled in the Heroes Program differs. Please visit our website for details.
Thank you for submitting your request. A member from our team will be contacting you shortly to verify your information. Please be aware that your request may require a signature which can be completed via our Secured eSignature platform.