826 North 3rd Street, Waco, TX 76707
    Phone: (254) 753-0361 •  Fax: (254) 753-0371
You MUST currently be a WACO FCU member to complete this form!
The information requested below is for the primary member on the account.
Member Account Number
First Name Middle Name/Initial Last Name
Street Address City State Zip Code
Home Phone # Cell Phone # Work Phone #
Email Address Last 4 Digits Of Social Security # Birthdate (MM/DD/YYYY)
By submitting this request, I acknowledge that I have read and agree to the terms of the Home Banking Disclosure