P.O. Box 1755 Bluefield, WV 24701
Phone: (304) 325-9753
•
Fax: (304) 324-8525
Membership Application
Membership Eligibility:
Select...
First Name
Middle Initial
Last Name
Date of Birth
Marital Status
Select...
Email Address
Phone Number
Driver's License #
DL State of Issue
Social Security #
This is a secure application but if you are uncomfortable providing your SSN here you may call us with this info after submission. We cannot process your application without this information.
Present Address
Street Address
City
State
Select...
Zip Code
Is there a joint applicant?
No
Yes
Joint Applicant Information
First Name
Middle Initial
Last Name
Date of Birth
Marital Status
Select...
Email Address
Phone Number
Driver's License #
DL State of Issue
Social Security #
This is a secure application but if you are uncomfortable providing your SSN here you may call us with this info after submission. We cannot process your application without this information.
Interested In
Savings
Checking
Certificates
Loans
Credit Card
Submit Application
