Secure Checking Account Application
83 Merrimack Street, Lowell, MA 01852
Phone: (978) 328-5100 • Fax: (978) 458-8933

(If you are not currently an Mills42FCU member, Click Here for a membership application)
Main Account Holder Information
Name:
Title
First
MI
Last
Suffix
Account Number:
Email Address:
Social Security Number:
- -
Date Of Birth:
/ /
(mm) (dd) (yyyy)
Home Phone Number:
- -
Work Phone Number:
- -
What Is Your Mailing Address?
Street 1:
Street 2:
City:
State: Zip:
Check Information
How Would You Like Your Checks To Read?
Check Type:  Check Types
Starting Number:

I AGREE - I have read and agree to the Mills42 Federal Credit Union Checking/Share Draft Agreement.

I AGREE - I have read and agree to the Mills42 Federal Credit Union MasterCard™ Debit Card Agreement.

YES - I understand that any and all additional accounts will be established with the same original account owner(s).

YES - I would like to sign up the Round Up Savings program.  I have read and understood the terms and conditions.


  By submitting this request, you agree that the information is correct to the best of your knowledge.