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Marine Credit Union

New Member Checklist

Full Name:      

Full SSN:      

Date of Birth:      

Phone Number:      

Email Address:      

Address (PO Box not acceptable):

Street:      

City:      

State:       Zip Code:      

Do you rent: or own: or live with others:

How long have you lived there? Years:       Months:      

If less than 5 years, what was your previous address?

Street:      

City:      

State:       Zip Code:      

Employer:      

Employer city:      

Job Title:      

Length of Employment: Years:       Months:      

Your Mother’s maiden name (last name before any marriage):      

Your Marital Status: Single Married: Widowed:

Permission to pull your Trans Union Credit Report: Yes or No

Products Available:

Checks Debit Card Online Banking

Non-expired and non-voided Photo ID is required. If current address if not listed on ID, we require proof of address, which can include a paystub, electric/utility bill, internet bill, or USPS Change of Address Confirmation)

Marine Credit Union | 661 W Pioneer Road, Fond du Lac, WI 54935 | T: 920.923.7280 | MarineCU.com | MCU NMLS #472385

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