- - PLEASE PRINT AND RETURN - -
Member Name: _____________________________ Member #: ___________________
Address: _______________________________________________________________
City: ______________________________________ State: _______ ZIP:____________
Home Phone: (_______)________________ Work Phone: (_______)________________
Email Address: ___________________________________________________________
(Required for enrollment notification. Please print legibly to avoid delays.)
________Please sign me up for CU Online (online banking).
All shares and loans under the member number listed above will be accessible.
Other accounts I wish to transfer into are:
Name: _______________________________________ Member #:_________________________
Name: _______________________________________ Member #:_________________________
Name: _______________________________________ Member #:_________________________
____________________________________________________________________________________________________
________Please sign me up for PC Bill Pay
(you must have a St. Agnes Credit Union checking account in order to use PC
Bill Pay)
I agree to receive all agreements and initial disclosures electronically. After I have carefully read the agreement in its entirety, I will be asked to consent to the terms and conditions of the agreement.
Signature:______________________________________ Date: _______________
(Member only must sign.)
Please drop off this completed application to either SAEFCU office or mail to: St. Agnes Employees Federal Credit Union, Attn: Marketing Dept., 720-E Maiden Choice Lane, Baltimore, MD 21228, or FAX to (410) 869-8293. You will be notified when your service(s) are activated.