Membership Form
586 Moore Road. Avon Lake, Ohio 44012
Phone: (440) 933-3181  •  Fax: (440) 933-8094
service@lakeshoreccu.com


How To Join

1. Complete the following On-Line Membership Application Request Form and submit it. 
2. A new account packet will come to you in the mail with required membership documentation.
3. Email a digital version of an official picture identification card or bring it in person to one of our offices within 30 days of application.
4. Send or deliver the minimum $5 account deposit within 30 days of application.


Applicant Information
First Name: MI: Physical Address :
Last Name: City : State:
Date of Birth: Zip :
Mother's Maiden Name: Mailing Address :
Social Security #: City : State:
Email Address : Zip :
Home Phone : Driver’s License # :
Business Phone : Driver License Issue Date :
Cell Phone: Driver License Expiration Date :
Employer: Driver License State of Issue :
Department: Citizenship :
Occupation / Title:    

Membership Eligibility (Check all that apply)
Eligible Select Employee Group:
Live, Work, Worship or Attend School in Cuyahoga County or northeast portion of Lorain County.
Related to Current Member

Account Ownership
Designate the ownership of the accounts and responsibility for the services requested:

Joint Applicant Information
First Name: MI: Physical Address :
Last Name: City : State:
Date of Birth: Zip :
Mother's Maiden Name: Mailing Address :
Social Security #: City : State:
Email Address : Zip :
Home Phone : Driver’s License # :
Business Phone : Driver License Issue Date :
Cell Phone : Driver License Expiration Date :
Employer: Driver License State of Issue :
Department: Citizenship :
Occupation / Title:    

Joint Applicant Information
First Name: MI: Physical Address :
Last Name: City : State:
Date of Birth: Zip :
Mother's Maiden Name: Mailing Address :
Social Security #: City : State:
Email Address : Zip :
Home Phone : Driver’s License # :
Business Phone : Driver License Issue Date :
Cell Phone : Driver License Expiration Date :
Employer: Driver License State of Issue :
Department: Citizenship :
Occupation / Title:    

Beneficiary Designations
Payable on Death (POD) Account
Beneficiary / Payee: Beneficiary / Payee:
Street: Street:
City / State / Zip: City / State / Zip:
Phone Number: Phone Number:

Questionnaire
How did you hear about us?
Why did you decide to open an account here?
Where have you been banking?
Do you have children? Ages?
What 2 or 3 things are most important to you in a financial institution?

Submit Application

I hereby make application for membership in Lakeshore Community Credit Union (LSCCU), and agree to conform to its bylaws and amendments thereof, and to subscribe for at least one (1) share. LSCCU is hereby authorized to recognize any of the signatures subscribed hereto in the payment of funds or the transaction of any business for this account. The joint owners of this account hereby agree with each other and with LSCCU that all sums now paid in on shares, or heretofore or hereafter paid in on shares by any or all of said owners to their credit as such joint owners with all accumulations thereon, are and shall be owned by them jointly.

By pressing the "Submit Application" button below, you agree to the above statement.