Secure Home Banking Sign Up Form
83 Merrimack Street, Lowell, MA 01852
Phone: (978) 328-5100 • Fax: (978) 458-8933
You must currently be a Mills42 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:
Middle Name or Initial:
Home Phone #:
Cell Phone #:
Work Phone #:
Last 4 of Social Security #:
By submitting this request, I acknowledge that I have read and agree to the terms of the
Online Services Disclosure