- - - - - - - - - - - - - - - - - PLEASE PRINT AND RETURN TO SAINT AGNES FEDERAL CREDIT UNION - - - - - - - - - - - - - - -
Member Name: _____________________________________________________________________ Member #: ______________________
Address: ______________________________________________________________________________________________________________
City: _____________________________________________________________________________ State: __________ ZIP:_______________
Home Phone: (_______)_________________ Work Phone: (_______)__________________ Cell 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 #:_________________________
If you have a Saint Agnes checking account, you can enroll in our Bill Pay service. After you've logged in to CU Online, click on the Bill Payer button to get started.
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 branch office or mail to: Saint Agnes Federal Credit Union, Attn: Marketing Dept., 720-E Maiden Choice Lane, Baltimore, MD 21228, or FAX to 410-869-8293. You will be notified by e-mail when your service is activated.