Pagoda Federal Credit Union
Membership Request


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How To Join:

  1. Complete the following On-Line Membership Request Form (below) and submit it.
  2. Once received, we will mail you a completed Membership Application/Signature Card for your signature and your joint owners signature (if applicable).
  3. The signed Membership/Signature Card must be returned to the credit union along with $6.00 ($5 minimum deposit plus one-time $1.00 membership fee) for the process to be complete.

Membership Request Form

    Has the I.R.S. notified you that you are subject to back-up withholding of dividends or interest? yes no
    What account type(s) are you interested in (Note: $5 Share required)?
    Share/Savings Account
    Draft/Checking Account
    Time/Certificate Account
    Club Accounts
    IRA Account
Your Email Address:
First Name:
Middle Name or Initial:
Last Name:
Street Address:
City:
State & Zip:
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Business Phone #:
Employer:
Drivers Lic No./State:
Mothers Maiden Name:

    Complete the following two fields only if there is to be a Joint Owner on your account:
    Joint Owners Name:
    Joint Owners Social Security #:
    Joint Owners Birthdate (MM/DD/YY):


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Pagoda Federal Credit Union
© 2000