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TCCU MEMBERSHIP APPLICATION AND AGREEMENT
Membership Requirements:
  • Anyone living within a 75 mile radius of Minot
  • Anyone living within a 50 mile radius of Kenmare
  • Anyone living within a 50 mile radius of Fargo-Moorhead area

If you would prefer, you can download our Membership Application using Adobe Acrobat. You can also call us at 800-872-6358 or email us at info@townandcountry.org for an application and more detail.
 
*Indicates Required
 Part 1. Member Information
*Name
*Address
*City
*State
*Zip
*Social Security Number - -
*Phone - -
Email Address
*Date of Birth - -
*Driver's License #
*Mother's Maiden Name
Present Employer  
*Name
*Address
   
*I qualify for membership in this Credit Union because
Name and Address of someone who will always know your location
*Name
*Address
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