Membership Application

The information used on this form will be entered on your actual account cards, which will then be sent to you for your signature. You will need to sign the account cards and return them to the credit union with your opening deposit. Your account will become active once you sign and return the account cards with your deposit.

Note: Your account will not automatically be opened by solely completing and submitting this form.

Application Information Name Home Address City/State Zip Home Phone # Work Phone # Best Time to Call E-Mail Address Qualification for Membership Employer Relationship to Member Other Please click the button below to print your information. Then fax or mail to Employee Resources Credit Union.