Membership Application Form


  Directions

To join Riverfront Federal Credit Union: Please complete and return this application in one of two ways:

  • Complete our form online and submit it to Riverfront electronically. We will then mail the application to you to be signed and returned.
  •  
    - or -
     
  • Complete the online form and print the application for you to sign and mail to us.

To open a Primary Savings Account, a one-time $3 membership fee and a $5 minimum deposit are required.

Members must maintain a $50 minimum balance in their Primary Savings Account in order to obtain any other product or service Riverfront offers. The $50 minimum balance represents your "share" of membership.

Please complete the entire form, print document, sign, and include copies of your driverís license or state issued identification card and Social Security card. Mail to:

Riverfront Federal Credit Union,
430 S. 4th St., Reading, PA, 19602

Be sure to include your check for initial deposit. Riverfront will mail account disclosure information to you within twenty days of receipt of this application.

  Important information regarding the U.S. Patriot Act
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask for your name, address, and date of birth. We will require copies of your driverís license or state issued identification card as well as a copy of your Social Security card. This will allow us to identify you and keep a record of our identification procedures in your file.

  Application
Blue text represents a required field.
How are you eligible for membership? (View:Membership Eligibility.)
Live in Berks County Work in Berks County Relative
Educated in Berks County Worship in Berks County
Employer / Assoc:
Address:
 
Union Name / #:
Occupation:
 
If joining through a relative, please complete the following:
Member's Name:
Account #:
Telephone:
Relationship:
What type of account (select one)
Individual Account Joint Account
What type of services (Check all that Apply)
I am applying for a:
     Savings (required)
Checking
Payroll Deduction/Direct Deposit
 
 
Investment Accounts
 
MasterMoney Debit Card (must also have checking account)
Holiday Club
Vacation Club
Escrow Account
 STAR Card
 
Dial Direct (telephone access service)
 
Online Direct (Home banking Service)
New Member Information
Name:
Address:
 
City, State: , Zip:
Telephone (H):
Telephone (W):
Birthdate:
E-Mail:
Joint Owner Information
Name:*
Address:*
 
City, State:* , Zip:*
Telephone:*
Birthdate:*
* = required only if adding a joint owner.
Check Imprint Information
If you are opening a checking account, please enter the following information as you would like it to appear on checks:
Your Name:
Joint Owner:
Address:
 
City, State: , Zip:
Telephone:
Agreement

I/We hereby make application for membership in Riverfront Federal Credit Union and all accounts and services selected in this application, and agree to conform to its bylaws and amendments thereof. By signing below I/we certify that the information contained in this application is true and correct. I/we also acknowledge that the credit union will mail account disclosure information to me/us within 20 days of the receipt of this application. I/We also understand that I/we may request the credit union to mail this information to me/us prior to my/our submission of this application to them, by contacting the credit union at (800) 451-3477. I authorize the credit union to pull my credit report from time to time as needed to determine my eligibility for services.

Taxpayer ID (Social Security #) and Backup Withholding
If you have been notified by the Internal Revenue Service (IRS) that you are subject to backup withholding due to payee underreporting and you have not received a notice from the IRS that the backup withholding has terminated, you must strike out the language in clause 2 of whichever statement you check below. Please select one of the following:
 

I have a Social Security Number. Certification as to taxpayer identification (Social Security #) and backup withholding. Under penalties of perjury, I certify (1) that the number shown on this form is my correct taxpayer identification number and (2) that I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service (IRS) has notified me that I am no longer subject to backup withholding.
I have applied for a Social Security Number. Certification if awaiting number. Under penalties of perjury, I certify (1) that a taxpayer identification number has not been issued to me, and that I mailed or delivered an application to receive a taxpayer identification number to the appropriate Internal Revenue Service Center or Social Security Administration Office (or I intend to mail or deliver an application in the near future), and (2) that I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service (IRS) has notified me that I am no longer subject to backup withholding.
 
I understand that if I do not provide a taxpayer identification number to the credit union within 60 days, the credit union will withhold all reportable payments, as required by IRS regulation until I provide a taxpayer identification number.

Send information electronically (which we will mail to you to be signed and returned)
Print form for mailing