Welcome to our online Membership application. Before proceeding, please provide us with the following information so we can initialize your application.

Personal Information
Membership Eligiblity
Member Name  
Social Security Number  
Home address  
City  
State
Zip  
Home Phone (xxx-xxx-xxxx)    
Business Phone (xxx-xxx-xxxx)  
Email Address
Signature (Member)  
Joint Member?
Joint Member Name
Signature (Joint Member)

Yes, I want a checking account and debit card at REGIONAL.

My/Our signature(s) above indicate that I/we hereby apply for REGIONAL federal credit union’s check card. Each use of the check card shall be deemed to be written authorization to change or credit my/our account(s) for the amount and the transaction indicated at the time of use. Each use also shall be deemed as my/our agreement to the terms of Electronic Funds Transfer Agreement. I/We also authorize the credit union to check my/our credit employment history from time to time as deemed necessary, and for the credit union to answer questions from others about the credit experience with me/us.



A Member Service Advisor will contact you within 24-48 hours

Switch Kit: need help changing your accounts to REGIONAL? Fill out and print our free online Switch Kit and send to: Member Service Advisor, 2801 Boilermaker Ct., Valparaiso, IN 46383

Disclosures

  • Truth in Savings

  • USA PATRIOT

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  • * Eligible Lake County cities are Hammond, Highland, Hobart, Gary, East Chicago, Whiting, Griffith, New Chicago

     

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