New Member Form

    Becoming a member is easy! If you live, work, worship, attend school, or perform volunteer services in Wyoming, you are eligible to join Atlantic City Federal Credit Union. You are also eligible if you have immediate family who lives, works, or worships in Wyoming.

  • Do You:

    OK Do You: is required
    • To establish a membership with Atlantic City Federal Credit Union, you must open and maintain a Regular Savings account with a minimum balance of $25.
    OK By Checking this box, I understand that I must open and maintain a Regular Savings account with a minimum balance of $25 as a requirement for membership. is required

  • Will this be a Joint account?

    OK Will this be a Joint account? is required

  • Please select any products and services that you would like for this accounts.

    Optional OK Please select any products and services that you would like for this accounts. is required
  • OK User Name is required
    • Enter your desired user name – minimum 6 characters
  • OK Password is required
    • Enter your desired password – minimum 7 characters, maximum 16 characters, must contain at least one digit and one special character

Applicant

  • OK First Name is required
  • Optional OK Middle Initial is required
  • OK Last Name is required
  • OK Email Address is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required

Applicant's Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required

  • Is Mailing Address different?

    OK Is Mailing Address different? is required

If yes,

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required

Tax Status

    OK is required

Employment Information

  • Current Status

    OK Current Status is required
  • OK Employer Name is required
  • OK Occupation is required
  • OK Former Occupation is required
  • OK Former Occupation is required

  • Would you like to designate a beneficiary payable upon death?

    OK Would you like to designate a beneficiary payable upon death? is required

Beneficiary

  • OK Name is required
  • OK Relationship is required
  • OK Phone is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Optional OK Social Security Number is required
  • Optional OK Date of Birth is required
  • Application
  • Application Continue
New Member

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