Embarrass Vermillion Federal Credit Union - Online Access Enrollment Form
Aurora
P.O. Box 218, Aurora, MN 55705
Tel: (218) 229-2048 • Fax: (218) 229-2096
Embarrass
P.O. Box 98, Embarrass, MN 55732
Tel: (218) 984-3501 • Fax: (218) 984-2350
Tower
P.O. Box 433, Tower, MN 55790
Tel: (218) 753-4311 • Fax: (218) 753-6313

You must be a current member of Embarrass Vermillion Federal Credit Union to complete this form!
The information requested below is for the primary member on the account.
MEMBER INFORMATION
Account Number:
Email Address:
First Name:
Middle Name or Initial:
Last Name:
Street Address:
City:
State:
   Zip:
Home Phone #:
( )   - (If Applicable)
Cell Phone #: ( )   - (If Applicable)
Work Phone #: ( )   - Ext: (If Applicable)
Last 4 Digits Of Social Security Number:
Birthdate (MM/DD/YYYY):
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