Membership Application

Registration for:

First Name:
Last Name:
Title:

Credit Union Name:
Mailing Address:
City:
State:
ZIP:
Telephone:
Fax Number:
E-Mail Address:
Asset Size:

 

  Areas of Responsibility (please check all that apply)
   
ALM
Accounting
Business Contingency Planning
Cost Accounting
Facilities Management
Federal/State Compliance
Financial Reporting to the Board
Insurance and Bonding
MIS/Technology/Info Services
Payment/Delivery Systems
Strategic Financial Planning
   

Dues are $100 per year.

 
Payment Options (please check one):
 
Debit my Georgia Central CU account
      GCCU account number   
      Name of person authorized to debit account   
      Amount to be debited  
 
I will pay by check

If paying by check, please mail to:

Beverly Knutsen, Treasurer
Augusta Metro FCU
PO Box 213089
Augusta, GA 30917-3089