Credit Union Membership Renewal

Credit Union Membership Renewal

Dues pay for membership through December 31, 2019. To apply for membership please complete all questions. If you have any questions, please email operations@macuma.org.
Credit Union Name *
Primary Billing Contact *

First Name Last Name
Primary Billing Contact Email *
Primary Contact Phone Number *

- Area Code Phone Number
Directory Information
Total CU assets *
Number of members *

Credit Union Address *

Credit Union Phone Number *

- Area Code Phone Number
Website *
Fax
Please list all staff members you wish to include in the directory. Please include Name, title, email, and contact phone number.

Please select your membership tier based upon your asset size. *

Tier 1 - Up to $50,000,000 $ 149.00

Tier 2 - >$50,000,000 to $100,000,000 $ 299.00

Tier 3 - >$100,000,000 to $200,000,000 $ 499.00

Tier 4 - >$200,000,000 to $500,000,000 $ 599.00

Tier 5 - >$500,000,000 $ 799.00

Credit Card (Please list the name that appears on the card.)
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Directory Information