Membership Application

Becoming a member of Northeast Community Credit Union Credit Union is simple. If you live or work in Essex or Middlesex counties or in one of the bordering New Hampshire communities, you're eligible to join.

1. Complete the Membership Application.
2. Attach a check for at least $25 which will be used to open your Share Savings Account. This account establishes your membership.
3. Bring the completed application with your initial deposit to either of our offices.

If you have any questions about credit union membership, please complete our information request form or contact us at (978) 374-4533. Please note, we cannot accept membership applications through the mail.

I/We would like join Northeast Community Credit Union. In addition to opening a Share Savings Account to establish membership, I/We would like to also open the following (please check all that apply):
Savings Accounts
	X Share Savings Account (required to establish membership)
	__ Certificate of Deposit
	__ Christmas Club
Checking Accounts
	__ Totally Free Checking
	__ NOW Account
	__ High Interest Checking
Additional Services
	__ Overdraft Protection
	__ Online Banking & Bill Payment
	__ Debit MasterCard® or ATM Card
	__ Credit Cards
	__ Direct Deposit
	__ 800 Banking

Member Application (please print)  

Name ______________________________________________ 

Street Address ______________________________________

City ____________________________________

State _______  Zip _______________ 

Social Security No. ________________________ 

Date of Birth __________________ 

Occupation ___________________________ 

Employer ________________________ 

Home Tel # ________________________  

Work Tel # __________________________ 

Mother's Maiden Name _______________________________ 

Identification (specify type and number) _____________________________

I hereby make application for membership in NORTHEAST COMMUNITY CREDIT UNION agreeing to conform to its By-Laws and any Amendments thereof. UNDER PENALTIES OF PERJURY I certify that the number shown is my correct taxpayer identification number. UNDER PENALTIES OF PERJURY I CERTIFY THAT I AM NOT SUBJECT TO BACKUP WITHHOLDING, either because I have not been notified that I am subject to backup withholding as a result of failure to report all interest or dividends, or the Internal Revenue Service not notified me that I am no longer subject to backup withholding. Signing below constitutes an Agreement to conform to the Credit Union's bylaws and the terms and conditions of the Truth-in-Savings Disclosures and the Electronic Fund Transfer Agreement. I also acknowledge that once my account is opened, I will receive the General Disclosure Statement; (Regulation E) Electronic Fund Transfer (EFT) Card Holder and Account Agreement; Funds Availability Disclosure (Regulation CC); Privacy Policy; and Schedule of Fees and Charges. 

Signature _______________________________________

Date ________

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Joint Application (if applicable) 

Name ______________________________________________ 

Street Address ______________________________________

City ____________________________________

State _______  Zip _______________

Social Security No. ________________________ 

Date of Birth __________________ 

Occupation ___________________________ 

Employer ________________________ 

Home Tel # ________________________ 

Work Tel # __________________________ 

Mother's Maiden Name _______________________________ 

Identification (specify type and number) _____________________________ 

The undersigned hereby apply for a Joint Account in NORTHEAST COMMUNITY CREDIT UNION, and, in consideration of the approval of applicants in joint ownership by the said credit union, the joint owners of this account hereby agree with each other and with the credit union, that all sums now invested in shares or deposits, or hereafter paid in as payments on shares or deposits, and all dividends and interest thereon, shall be owned by us and said payments upon withdrawal either by joint owner shall be valid and discharge NORTHEAST COMMUNITY CREDIT UNION from any liability for such payments. In the case of death of either one of said joint owners, all rights and privileges of ownership in this account held jointly in NORTHEAST COMMUNITY CREDIT UNION shall be vested in the survivor. 

The right or authority of NORTHEAST COMMUNITY CREDIT UNION under this agreement shall not be changed or terminated by said owners, except by written notice to NORTHEAST COMMUNITY CREDIT UNION which shall not affect transactions theretofore made.

Each of the undersigned appoints the other attorney with power to endorse (by rubber stamp or otherwise) for deposit to this account checks, notes, drafts, orders and receipts for the payment of all money belonging or payable to either or both of the undersigned.

As a joint applicant of the account you are not considered a member of the credit union. To become a member of Northeast Community Credit Union, you must complete a member application of your own. 

UNDER PENALTIES OF PERJURY I, the joint owner, certify that the number shown is my correct taxpayer ID number. By signing below this certifies and makes the same representation for the member application as said immediately above.

Joint Owner Signature ________________________________

Date ________