Join NWCUCA

Now you can apply for membership online! Just fill out the form below and your membership application will be sent in.

Once the form below has been completed, a membership fee of $100 must be sent to the address below:
   NWCUCA
   ATTN: Sheri Wilson
   PO Box 2150
   Shelton, WA 98584


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

Collector Title

Collector Phone (Local)

Collector Phone (Toll-Free)

Collector Email

Collector Fax

Lender Name

Lender Title

Lender Email

Lender Phone

Lender Fax

Payment Preference
 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 Sheri Wilson.