519 Kirby Street, Lake Charles, Louisiana 70601
Phone: (337) 433-5125 • Toll Free: 1-888-433-5125 • Fax: (337) 439-1738

 

Secure Membership Sign Up Form

How To Join:

1. Complete the following On-Line Membership Application Request Form and submit it.
2. Once received, a Member Service Representative will check membership eligibility. If eligible to join, the Membership Representative will prepare all paperwork for you to open up a new account at CFECU. You can set up a date and time to meet with one of CFECU’s New Accounts Representatives to finalize paperwork, or if you work for Homeland Security or one of the federal employers wherein you cannot leave your job to come to our office, the Member Service Representative will make arrangements to come to your office or another meeting place to finalize paperwork.
3. The final paperwork includes a signed Membership/Signature Card by all owners of the account along with an initial deposit of at least $25.00 ($25.00 deposit amount that is pledged to maintain active account) and two forms of identification (one photo identification and a form of identification that reflects your social security number) for each owner or joint owner(s) of the account.

The Membership/Signature card you will sign includes the following statements and agreements:

Under the penalties of perjury, I certify that (1) The number shown on this form is my correct taxpayer identification number, (2) I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and (3) I am a U.S. person (including a U.S. resident alien).

I/we agree to the terms and conditions of the Membership and Account Agreement, Truth-In-Savings Rate and Fee Schedule, Funds Availability Policy Disclosure, if applicable, and to any amendment the Credit Union makes from time to time which are incorporated herein. I /We acknowledge receipt of a copy of the Agreement and Disclosures applicable to the accounts and services requested herein. If an access card or EFT service is requested and provided, I/we agree to the terms of and acknowledge receipt of the Electronic Funds Transfer Agreement. The Internal Revenue Services does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.
 
All Fields Are Required
Your Email Address:
First Name: MI:
Last Name:
Social Security Number:
Street Address:  
City:
State:
Zip:
Home Phone #: 1234567890 (no separators)
Business Phone #:
Employer:

Membership Eligibility (Check all that apply):
Resident of 706 zip code area of the United States Postal Service.
Resident of the state of Louisiana working permanently within the boundaries 706 zip code area. You also must be a federal employee or an employee of Calcasieu Federal Employees Credit Union, presently employed or retired.
Employee or retired employee of Cameron Parish School Board
Related to Current Member

How did you hear about us?
Newspaper Ad -  Name:
Employer
Direct Mail (i.e. Postcard, Letter etc.)
Friend/Family -  Name:
Other:

By submitting this form, I declare that the above fields are correct to the best of my knowledge and agree to execute a membeship and account agreement with Calcasieu Federal Employees Credit Union.