Longshoremen's Local 4 Federal Credit Union
Home Banking Registration
I would like to participate in the Longshoremen's Local 4 Federal Credit Union's Home Banking Program.
Account #(s) _________________________________________________________
E-mail _____________________________________________________________
Name (please print) ___________________________________________________
Street Address _______________________________________________________
City __________________ State ______ Zip Code _____________
Phone # __________________________
Social Security # _______________________________________
Date of Birth __________________________________________
I would like to receive my statements electronically. Yes ___ No ___
Signature ______________________________________