Secure Online Account Access Sign Up Form
P.O. Box 245, Portland, OR  97207
Phone: (503) 225-6079  •  Fax: (503) 273-4688

You must currently be a Blue Cross Blue Shield FCU member to complete this form!
The information requested below is for the primary member on the account.
All Fields Are Required
Member Account Number:
Email Address:
First Name:
Middle Name or Initial:
Last Name:
Street Address:
City:
State:      Zip:
Home Phone #:
Cell Phone #:
Work Phone #:      Ext:
Last 4 of Social Security #:
Birthdate(MM/DD/YY):
  By submitting this request, I acknowledge that I have read and agree to the terms of the Online Services Disclosure