D'PUC CREDIT UNION

Membership Application

Complete the entire application, including security MMN (mother's maiden name). Please sign where indicated and include the $26 application fee ($25 for one share will be deposited into your account, and a $1 membership fee); if mailed, two copies of a valid driver's license or state ID; a  completed payroll deduction card; and a completed payroll authorization form. (Note: If this information is brought to the window, valid ID is required but the copies will be made by the credit union office staff.)

Loan Application

Complete the entire application indicating the reason for loan request, amount, repayment terms, and all creditors and outstanding balances. Include a copy of your current payroll check statement and a valid driver's license or state ID. If you have any additional income you want us to use when determining your eligibility, include written proof.  If you are using this form for a new or used automobile loan, include a copy of the dealership's Purchase Contract/Bill of Sale. If you are using the form for a refinance auto loan, we will need a minimum 10-day payoff letter from your finance company.