Membership Application

Alliance Credit Union is a state chartered credit union. To be eligible for membership, you must be one of the following:

• A resident of Weber County
• Family member of an existing Alliance Credit Union Member, including:
  Parents, Children, Spouse (including surviving spouse), and Siblings
• Member of an affiliated association, such as:
  Cream O' Weber, Ogden City, the Ogden Board of Realtors, the U.S. Forest Service, the U.S. Postal Service, and Weber County

By maintaining a $25 balance in your share savings account, you receive the full benefits of membership.

Use the simple form below to apply for membership in Alliance Credit Union. Please provide all of the requested information. When you have completed the form, click the Send Application button to send your application to Alliance Credit Union for processing. The data will be transferred via secured server transmission (SSL). If you prefer, you may simply print this form and fax it to (801) 627-8780. By submitting this form, you certify that the information you provide is true and correct. Inaccurate or incorrect information may delay processing.

Click here for a printable/faxable version of this form.

Membership Application Primary Owner Type of application: Individual Joint I qualify for membership as (check all that apply):   A resident of Weber County   An immediate family of an existing member Member Name: Relationship: - Select One - Mother Father Brother Sister Spouse   An employee of the following: - Select One - Federal Government Ogden City Weber County Other City in Weber County Weber Central Dairy Association Members (Employees) Ogden Board of Realtors Alliance Credit Union Date: First Name and MI: Last Name: SSN: Present Street Address: (Do not use PO Box) City, State, Zip: , AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Mailing Address: (if Different) City, State, Zip: , AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Drivers License #, State: , AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Date of Birth: Home Phone: Work Phone: E-mail Address:     Joint Owner (if applicable) First Name and MI: Last Name: SSN: Present Sreet Address: (Do not use PO Box) City, State, Zip: , AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Mailing Address: (if Different) City, State, Zip: , AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Drivers License #, State: , AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Date of Birth: Home Phone: Work Phone: E-mail Address:     Payable on Death (POD) Designation Name: Present Street Address: (Do not Use PO Box) City, State , AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Home Phone:     Request Additional Services Checking Account IRA Direct Deposit Bill Payment Service Certificate of Deposit Home Banking     Additional Notes and Comments Please provide any additional notes, requests for service, questions, or comments in the space provided below.     Submit Form By submitting this form, you certify that all the above entered information is true and correct. This form will be submitted to Alliance Credit Union via e-mail for processing. You will be contacted by an Alliance Credit Union representative within 24 hours to confirm your application.

Return to the top