Secure Online Account Access Enrollment
1008 Veterans Memorial Pkwy, Tuscaloosa, AL 35404
Phone: (205) 759-7317  •  Fax: (205) 758-5574
You must currently be a DCH 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 #:
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