Walker County Educators FCU -- Secure Home Banking Sign Up Form

	Secure Home Banking Sign Up Form P.O. Box 545, Lafayette GA 30728 Phone: (706) 638-4243 • Fax: (706) 638-0699

You must currently be a Walker County Educators FCU member to use this form!
The information requested below is for the primary member on the account.

All Fields Are Required

Member Account #:
Email Address:
Please Note: We will NEVER send you an email asking you to verify personal information, or ask you to click a link or call a phone number to verify personal information.
First Name:
Middle Name or Initial:
Last Name:
Street Address:
City:
State:	Zip:
Home Phone #:
Last 4 Of Social Security #:
Birthdate (MM/DD/YY):

	By submitting this request, I aknowledge receipt of the terms, conditions and agreements received when opening my account(s) and I acknowledge that I have read and agree to the terms of the Online Services Disclosure