Open a New Account or Join the Credit Union as a New Member

Complete this form and click on the "Submit" button to submit your new account or membership application. You will receive an account disclosure and signature card by mail within one week. Return the signature card with all account owner signatures, the initial account deposit and identification requirements (if applicable).

Important Information About Procedures For Opening A New Account: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.

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New Member Current Member

Account No.

Primary Owner of Account
Name (First M. Last)
Residence Address (not P.O. Box)
City, State Zip ,
Mailing Address (if different)
Mailing City, State Zip ,
Social Security No. (TIN)
Driver's License Number State
Date of Birth (mm/dd/yyyy)
Home Phone Number ( ) -
Employer
Employment Start Date (mm/dd/yyyy)
Work Phone Number ( ) -
Email
Send me email updates about Premier’s latest offers 
Preferred Contact Branch
I AM subject to back-up withholding
I AM NOT subject to back-up withholding
Mother's Maiden Name


First Joint Owner
Name (First M. Last)
Residence Address (not PO Box)
City, State Zip ,
Mailing Address (if different)
Mailing City, State Zip ,
Social Security No. (TIN)
Driver's License Number State
Date of Birth (mm/DD/yyyy)
Home Phone Number ( ) -
Employer
Employment Start Date (mm/dd/yyyy)
Work Phone Number ( ) -
Relationship to Primary Owner
Mother's Maiden Name


Second Joint Owner
Name (First M. Last)
Residence Address (not PO Box)
City, State Zip ,
Mailing Address (if different)
Mailing City, State Zip ,
Social Security No. (TIN)
Driver's License Number *State
Date of Birth (mm/DD/yyyy)
Home Phone Number ( ) -
Employer
Employment Start Date (mm/dd/yyyy)
Work Phone Number ( ) -
Relationship to Primary Owner
Mother's Maiden Name


Check all the account types that you wish to open.
Basic Savings Account ($5 minimum opening deposit)
Holiday Club Account
Money Market Account ($2,000 minimum opening deposit)
Saver Certificate of Deposit ($500 minimum opening deposit)
 
Investor Certificate of Deposit ($2,000 minimum opening deposit)
 
Premier Certificate of Deposit ($5,000 minimum deposit)
 
Checking Account
  Would you like Overdraft Protection setup from your Basic Savings Account?
Yes     No
High Yield Checking Account
  Would you like Overdraft Protection setup from your Basic Savings Account?
Yes     No
Business Checking Account
  Would you like Overdraft Protection setup from your Basic Savings Account?
Yes     No
Debit Card (available only with Checking/High Yield Checking)
ATM Card (available with Basic Savings Account or Checking)
I have read and accept the following account disclosures.