McNairy County
Educational
Credit Union
PO Box 412
Selmer, TN 38375
Application
For Membership $10.00
Name______________________________________________________
Street_____________________________________________________
City/State/Zip_____________________________________________
Husbands
first or wifes maiden name _____________________
Employer McNairy County BOE
Home
Phone__________________ Cell
Phone____________________
School
Assignment _________________________________________
Place of
birth ____________________________________________
Date of
birth _____________________________________________
Mothers
maiden name______________________________________
Social
Security Number_____________________________________
By
signing this agreement, I hereby make application for membership in and agree
to conform to the bylaws and any amendments thereof in the McNairy County
Educational Credit Union. I also agree
to the terms and conditions of any account that I have in the credit union now
or in the future and agree that the credit union may change those terms and
conditions from time to time.
Signed
____________________________________________________
Date_______________________________