Secure Membership Form
19-21 East Main Street, Westfield, NY 14787
Phone: (716) 326-3858  •  Fax: (716) 326-7550

This is an express application and additional information may be needed to meet your request.

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Important Information about Procedures for Opening a New Account

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

Inner Lakes Federal Credit Union has operational procedures in place to comply with these requirements. What this means for you: When you open an account, we will ask for your name, address date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.

Affiliation or Employment:
First Name: Middle Name/Initial: Last Name:
Street Address: City: State: Zip Code:
Home Phone #: Cell Phone #: Work Phone #
Ext:
Social Security #: Birthdate (MM/DD/YYYY): Email Address: