Secure Account Access Enrollment Form
53 Weed Street, Plattsburgh, NY 12901
Phone: (518) 563-1338 • Fax: (518) 563-1699

You MUST currently be a GP Community Federal Credit Union member to complete this form!
The information requested below is for the primary member on the account.
Member Account Number
First Name Middle Name/Initial Last Name
Street Address City State Zip Code
Home Phone # Cell Phone # Work Phone #
Email Address Last 4 Digits Of Social Security # Birthdate (MM/DD/YYYY)
By submitting this request, I acknowledge that I have read and agree to the terms of the Home Banking Disclosure