Okaloosa County Teachers Federal Credit Union

Membership Application

Please fill out the following fields. Your membership is important to us. For final processing you will need to come in the office to sign the membership application and bring valid ID. For questions call (850)729-3934.
ACCOUNT OWNER

Required fields are marked with an asterisk ()
Eligibility complete at least one eligibility reason
Area in which you Live or Work
Employer Name
Name of Referring Member
How are you associated with this referring member?	(parent, spouse, sibling, etc...)
Other eligible reason
Personal Information
Name	(First Middle Last)



Mother's Maiden Name
Social Security Number
Birth Date	(mm/dd/yyyy)
E-Mail Address
Home Phone
Employer Phone
Proof of Identity
Type
Other
Number
State
Issue Date	(mm/dd/yyyy)
Expiration Date	(mm/dd/yyyy)
Primary Address
Address

City
State
ZIP Code	-
Country
Employer
Employer Name
Accounts Requested
	Share/Savings
	Share Draft/Checking
	Overdraft Protection from Share/Savings
Information on your old account from which to fund the new account
Account Number
Account Type
ABA Routing Number
	(the nine digit number on the bottom left of your old check)

Amount to Transfer	$
Services Requested
	Debit Card
	Internet/PC Banking
	Internet/PC Bill Pay
	Audio Banking
JOINT OWNER

If you wish to specify a joint owner, the fields are marked with an asterisk () are required.
Personal Information
Name	(First Middle Last)



Mother's Maiden Name
Social Security Number
Birth Date	(mm/dd/yyyy)
E-Mail Address
Home Phone
Employer Phone
Proof of Identity
Type
Other
Number
State
Issue Date	(mm/dd/yyyy)
Expiration Date	(mm/dd/yyyy)
Primary Address
Address

City
State
ZIP Code	-
Country