Fayette County School Employees Credit Union -- Secure Home Banking Sign Up Form

FAYETTE COUNTY SCHOOL EMPLOYEES CREDIT UNION
Secure Home Banking Sign Up Form
193 Edison St., Uniontown, PA 15401 • Phone: (724) 438-9019 • Fax: (724) 438-7955

You must currently be a Fayette County School Employees CU member to complete this form!
The information requested below is for the primary member on the account.

All Fields Are Required

Your Member Acct. Number:
Your 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):

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