Coweta Cities & Co. EFCU Coweta Cities & County Employees Federal Credit Union NEWNAN The City of Homes
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Membership Request Form
MEMBERSHIP REQUEST FORM
When we receive your request for membership, we will send you a membership packet that will include a membership application and any pertinent credit union disclosure information.
Membership Information
Account # (To be completed by Credit Union) _________________________________________
Member   
_________________________________________  
Address State
_________________________________________   _____________  
City Zip
_________________________________________ _____________________________
Home Phone Work Phone
_________________________________________   _____________  
Employment
_________________________________________  
Eligibility for Membership
_________________________________________  
SSN/TIN
_________________________________________  
Date of Birth Driver's Lic. #
_________________________________________   _________________________  
Mother's Maiden Name

_________________________________________  

Account Type
   
Share/Savings
   
Individual Retirement Account
   
Term Share/Certificate
   
Other _________________________  
   
Christmas Club Savings    
 
SIGNATURE_________________________________________________

You Must Print, Sign, and Return to Credit Union

by mail
(43 Jefferson Parkway Newnan, GA 30263), fax (770-253-4218), or in person


A signature is needed to complete the process.

If this page is printed and faxed to the credit union, please include a copy of a photo ID along with your request.

Before printing make sure your print margins are set to 0.2"
Look under File menu, Click on Page Setup, then change margins to 0.2"

If this page is printed and faxed to the credit union, please
include a copy of a photo I.D. along with your request.

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