Fillable Name APPLICATION FOR GROUP MEMBERSHIP (Arizona)

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Name APPLICATION FOR GROUP MEMBERSHIP (Arizona)

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The Name APPLICATION FOR GROUP MEMBERSHIP (Arizona) form is 1 page long and contains:

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Country of origin: US
File type: PDF

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FI-LI-CU-FM_Group_Application)FOM SEGS Page 1
_______________________________________ CREDIT UNION
Name
APPLICATION FOR GROUP MEMBERSHIP
Business Name: __________________________________________________________
Address: ____________________________________ Zip________________________
Street Address (if different from above) _______________________________________
Telephone _________________________
Number of Employees: Full Time ______ Seasonal ___________
Type of Business: _________________________________________________________
How long have you been in business? _______________
Is the business a: _____Corporation _____Partnership
_____Sole Proprietorship
Approximately how many employees? ________
Does the business currently have a credit union? _______________
If yes, who is it? _________________________________________________________
Why do you want to change? ________________________________________________
Does your payroll/accounting department allow:
_____Direct Deposit/Surepay _____Payroll Deduction
Name of contact person: ________________________________________________
Title: ________________________________________________________________
Signature: ____________________________________________________________
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Name APPLICATION FOR GROUP MEMBERSHIP (Arizona)

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Completed 1 July 2022

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