Account Application

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.

* INDICATES REQUIRED FIELDS

New Member Current Member
If CURRENT member: Account No.
   

Primary Owner of Account

 
First Name:*
Middle Initial
Last Name:*
Residence Address (not P.O. Box):*
City, State Zip:*
Mailing Address (if different):
City, State Zip:
Social Security No.(TIN):*
Driver\'s License No.:*
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:*
   
Add a Joint Owner:
   


   
 

ONLY REQUIRED IF ADDING A JOINT OWNER

First Joint Owner

 
First Name:*
Middle Initial
Last Name:*
Residence Address (not P.O. Box):*
City, State Zip:*
Mailing Address (if different):
City, State Zip:
Social Security No.(TIN):*
Driver\'s License No.:*
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:*
   
Add another Joint Owner:
   


 

ONLY REQUIRED IF ADDING A SECOND JOINT OWNER

Second Joint Owner

 
First Name:*
Middle Initial
Last Name:*
Residence Address (not P.O. Box):*
City, State Zip:*
Mailing Address (if different):*
City, State Zip:*
Social Security No.(TIN):*
Driver\'s License No.:*
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? YesNo
High Yield Checking Account
Would you like Overdraft Protection setup from your Basic Savings Account? YesNo
Business Checking Account
Would you like Overdraft Protection setup from your Basic Savings Account? YesNo
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.
   
   
 

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News & Events

  • Make plans to attend our Home Buying Seminar on May 6th, click here for more details.
  • We will be closed on Saturday, April 19th in observance of Easter.