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Member Information
Primary Information

Will this be a Single or Joint Application?

Which accounts would you like to open?

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Employment Information

Disclosure and Agreement to Terms

I hereby certify that all information contained in this application is provided for the purpose of joining North East Welch FCU and is true and correct to the best of my knowledge and belief.

I further certify that I am eligible for membership in North East Welch FCU according to its Field of Membership, which includes individuals who live, work, worship, or attend school in designated townships and villages within Eastern Erie County, Pennsylvania, or Western Chautauqua County, New York.

I understand that this application initiates the membership process. Before my account can be opened, I am required to pay a $1 membership fee, deposit $5 into my savings account as my membership share, and sign the official membership documents at either branch location.

I certify that I have provided the Credit Union with all information requested herein and that this membership application is truthful, complete, and accurate to the best of my knowledge. I further acknowledge that I have read the entire completed application before signing it.

Do you agree with the above terms and conditions? *

Joint Information

Joint Applicant - Personal information

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Employment Information

Co-Applicant

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