Membership Application
Please provide as much information as you can. Missing information may cause delays in completing your request. Once you have completed and submitted this online form, one of our Representatives will contact you to complete your request.
Membership Information
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Primary Owner Information
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Upload Image of Front of Photo ID *

Click or drag & drop image here to upload

Upload Image of Back of Photo ID *

Click or drag & drop image here to upload

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Backup withholding: Most people are not subject to backup withholding. If you are, you would have been notified by the Internal Revenue Service (IRS) that you are subject to backup withholding as a result of failure to report all interest or dividends. If you have not been notified by the IRS that you are subject to backup withholding please select “I am not”.
Contact Information
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Mailing Address (if different)
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Joint Owner Information
If you would like to add a joint owner to your account please complete all of the following fields. If you do not want to add a joint owner, click Continue below.
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Address not the same as Primary Member
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Upload Image of Front of Photo ID

Click or drag & drop image here to upload

Upload Image of Back of Photo ID

Click or drag & drop image here to upload

arrow_drop_downcheckwarning
Backup withholding: Most people are not subject to backup withholding. If you are, you would have been notified by the Internal Revenue Service (IRS) that you are subject to backup withholding as a result of failure to report all interest or dividends. If you have not been notified by the IRS that you are subject to backup withholding please select “I am not”.
Beneficiary/Payable on Death
If you would like to add a beneficiary to your account please complete all of the following fields. Upon the death of the last owner, ownership of the account can pass to whomever you designate as beneficiary. If you do not want to add a beneficiary, click Continue below.
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I would like to add more than one beneficiary on this account
Services
I am interested in the following credit union services:
* $2.95 monthly fee for paper statement. eStatements are FREE!
eStatement/eNotice enrollment
Group Financial Education workshops
Individual Financial Counseling session
Checking Accounts
Find more information about our Checking Accounts from the link below.
In addition to my new membership I would also like to open a:
UA Checking Account
eMoney Account
Market Checking Account
To avoid any monthly fees, remember to set up direct deposit with your employer. After your new checking account has been opened we will send you all the necessary information to take to your payroll department.
Checking Account Add-Ons:
Visa Debit Card
Debit Card Round Up
Order checks (fees vary, not available with an eMoney Account)
Overdraft Protection from my vacation fund
Overdraft Protection from my new savings account
I would like to activate Courtesy Pay
Making Your First Deposit
A basic savings account will be opened to establish your membership at the credit union. This savings requires a minimum deposit of $5.00. There is also a $10 membership fee, for a total of $15.00 required to finish setting up your new account. If you would like us to debit your account at another financial institution to fund your new account, please fill out the fields below. If you leave these fields blank, a representative will contact you with additional options to fund your new account.
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Note: Funds will not be withdrawn from the account until we have fully processed your new membership. **Approximately 2-3 business days.
Terms and Conditions
Please review the following information carefully. Please check the boxes upon acceptance.
I Accept the Membership Agreement
I Accept the Fee Schedule
Thank you! If we have any questions we will contact you within 24 business hours. If everything checks out you will receive an email with information to electronically review and sign documents within 24 business hours.