Augusta Seaboard Community FCU
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Membership Request Form

Augusta Seaboard Community FCU
1212-C Augusta West Parkway
Augusta, GA 30909
Phone: 1-866-805-3744, 706-650-9200
Fax: 706-650-9888


When we receive your request for membership, we will send you a membership packet that will include a membership application and any pertinent credit union disclosure information.
Membership Information
 
______________________________________  ______________________________________   
Member  Address
  ______________________________________  ________ ________
City State Zip
______________________________________    ______________________________________   
Home Phone Cell Phone
______________________________________    _____________________
Employment Eligibility for Membership
______________________________________    _____________________
SSN/TIN Driver's Lic. #
_____________________ _____________________   
Date of Birth Mother's Maiden Name
Account Type
   
  Share/Savings
   
Individual Retirement Account
   
Term Share/Certificate
   
Other_____________________   
   
Christmas Club Savings  
     
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