Membership App

Membership Application

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UFCW Local 1776 Federal Credit Union Membership Agreement

I/We hereby make application for membership in the UFCW Local 1776 FCU and agree to conform to its bylaws and amendments thereof, and to subscribe for at least one (1) share. I/We authorize the Credit Union to obtain and use consumer reports (including credit) to process this application. I/We hereby acknowledge receipt of a copy of the disclosures attached hereto for the account(s) opened hereon and agree to be bound by the same.

Under penalties of perjury, I/We certify that (1) the Social Security Number(s) on this form are our correct taxpayer identification number(s) and (2) I/We are not subject to backup withholding because (A) I/We are exempt from backup withholding, or (B) I/We have not been notified by the Internal Revenue Service (IRS) that I/We are subject to backup withholding as a result of a failure to report all interest or dividends, or (C) the IRS has notified me/us that I/We am no longer subject to backup withholding.
    Member Account Agreement     (opens in a new tab/window)