Secure Online Account Enrollment Form
333 N. 13th Street, Boise, ID 83701
Phone: (208) 388-2959  •  Fax: (208) 345-8885

Member Account Number:
First Name: Middle Name/Initial: Last Name:
Street Address: City: State: Zip Code:
Home Phone #: Cell Phone #: Work Phone #
Last 4 Digits Of Social Security #: Birthdate (MM/DD/YYYY): Email Address:
By submitting this request, I acknowledge that I have read and agree to the terms of the Home Banking Disclosure