Wish to join the NWCUCA and take advantage of the educational opportunities? Complete the application below!

Upon completion of the application form, a membership fee of $150 ($50 for CUs under $50M) must be sent to the address below unless PayPal payment preference is indicated.

NWCUCA

ATTN: Missy Ray

301 W. Wishkah Street

Aberdeen, WA 98520


Credit Union Membership Form






    Credit Union Name (required)

    Submitter Name (required)

    Submitter Email (required)

    Mailing Address, City, State, Zip (required)

    Physical Address, City, State, Zip (if different than mailing address)

    Collector Name (required)

    Collector Title (required)

    Collector Phone (Local) (required)

    Collector Phone (Toll-Free)

    Collector Email (required)

    Collector Fax

    Collector Name

    Collector Title

    Collector Email

    Collector Phone

    Collector Fax

    Asset Size (required)

    Payment Preference (required)
    [radio* your-payment “I will pay by mailing a check after I submit this form” “Please email me a Paypal invoice, and I will pay online”]

    Additional Comments

    Your application will be processed as soon as possible. For questions related to membership, please contact Kari Olson at 425-460-3832 kario@qualstarcu.com