SOUTHERN LAKES CREDIT UNION

ONLINE BANKING REQUEST FORM

Please use this form to request passwords and access to your online banking system.  Your User ID and Password will be emailed to you within 1 day. 

Please read the Southern Lakes Credit Union remote banking disclosure information before submitting this form. 

Will there be a Joint Account Holder?
Yes or No 

Account Holder

SLCU Online ID: Choice 1:
Choice 2:
SLCU Online ID Constraints
* Must be a unique SLCU Online ID
* Must be between 6 and 20 characters
* Must not contain special characters
* Must start with a letter
* May contain numbers

Name:
Social Security Number: example: 123456789
Address:
   City:
   State:
   Zip:
Email:
Home Phone Number: example: 1234567890

Joint Account Holder (if applicable)

Name:
Social Security Number: example: 123456789
Address:
   City:
   State:
   Zip:
Email Address:
Home Phone Number: example: 1234567890

Electronic Banking accounts for Account Access

Please list all of the primary account name and numbers that you would like to access via online banking:


Please read the Southern Lakes Credit Union remote banking disclosure information before submitting this form.