Secure Online Account Access Enrollment Form
P.O. Box 323, Alloy, WV 25002
Phone: (304) 779-2773  •  Fax: (304) 779-2683
You must currently be an Alloy Federal Credit Union member to complete this form!
The information requested below is for the primary member on the account.
 
All Fields Are Required
Member Account Number:
Email Address:
First Name:
Middle Name or Initial:
Last Name:
Street Address:
City:
State:      Zip:
Home Phone #:
Cell Phone #:
Work Phone #:      Ext:
Last 4 of Social Security #:
Birthdate(MM/DD/YY):
  By submitting this request, I acknowledge that I have read and agree to the terms of the Online Services Disclosure