Secure Membership Form

1109 E. Strub Rd. Sandusky, Ohio 44870
Phone: (419) 626-4283 | Fax: (419) 626-8729



How To Join

Applying for membership is easy; just follow the instructions to submit your application. Membership eligibility rules do apply. For your protection, your signature and photo ID are required to open the account. Once we receive your application we will contact you to schedule a convenient time to come in and complete your application.

Membership Eligibility: –“The field of membership shall be limited to those having the following common bond:
1.) Persons who live, work, worship or attend school in Erie County, Ohio; (04/30/01)
2.) Members of record of this credit union as of the April 30, 2001, date of conversion to a community field of membership; (04/30/01)
3.) Spouses of persons who died while within the field of membership of this credit union;
4.) Employees of this credit union;
5.) Volunteers of this credit union; (04/30/01)
6.) Members of immediate family or household; (03/05/99) and
7.) Organizations of such persons.”
To join the Credit Union, you must meet the membership requirements, including purchase and maintenance of the minimum require share(s) (“membership share” $5.00) as set forth in the Credit Union’s bylaws. You authorize us to check your account, credit and employment history, and obtain reports from third parties, including credit reporting agencies, to verify your eligibility for the accounts and services requested.

Membership and Account Agreement:
This agreement covers your rights and responsibilities concerning your accounts and the rights and responsibilities of the Credit Union providing this Agreement (Credit Union). In this agreement, the words “you”, “your”, and “yours” means anyone who signs an Account Card, Account Change Card, or any other opening document (Account Card), or for whom membership and/or service requests are approved through the Credit Union’s online application and authentication process. The words “we”, “us” and “our” mean the Credit Union. The word “account” means any one (1) or more share or other accounts you have with the Credit Union.

Your account type(s) and ownership features are designated by you on your Account Card or through the Credit Union’s online application and authentication process. By signing an Account Card or authenticating your request, each of you, jointly and severally, agree to the terms and conditions in the Agreement, and any Account Card, Funds Availability Policy Disclosure, Truth-in-Savings Disclosure, Electric Funds Transfers Agreement and Disclosure, Privacy Disclosure, or Account Receipt accompanying this Agreement, the Credit Union’s bylaws and policies, and any amendments to these documents from time to time that collectively govern your membership and accounts.

 By submitting this request, I acknowledge that I have read and agree to the terms of the Privacy Policy    



Applicant Information
First Name: MI: Physical Address :
Last Name: City : State:
Date of Birth: Zip :
Mother's Maiden Name: Mailing Address :
Social Security #: City : State:
Driver’s License # : Zip :
Driver License Issue Date : Home Phone :
Driver License Expiration Date : Business Phone :
Driver License State of Issue : Employer:
Email Address : Occupation / Title:

Beneficiary(s)
Name Social Security Relationship












How did you hear about us?
Web Site
Billboard
Newspaper
Radio
Search engine
Friend / Family -   Name:
Member/Co-Worker -  Name:
Other:

Submit Application

By submitting this form with your electronic signature(s), you agree that everything stated in this application is correct to the best of your knowledge. You understand that any false or misleading statement in your application may cause you / we to be in default. You authorize us to accept your facsimile signatures on this application and agree that your facsimile signature will have the same legal force and effect as your original signature. You assume any risk that may be associated with permitting us to accept your facsimile signature. The Credit Union may keep this application whether or not it is approved.

By pressing the "Submit Application" button below, you agree to the above statement.

To avoid delays in processing your request please provide us with the best method and time to contact. Best method of contact:
Home Phone      Mobile Phone      Work Phone      Email            What time of day is best to call:


Date:
Primary Signature:
Joint Signature: