Please PRINT, FILL OUT, and MAIL your completed form to:
TruGrocer Federal Credit Union, P.O. Box 8145, Boise, ID  83707

By signing below, I acknowledge that I have read and agree to the terms and conditions of the TruGrocer Electronic Fund Transfers, Funds Availability and Truth-In-Savings Disclosures.

Your Name:

Member Number (as shown on your statement):

Address:

City:                                                          State:                       Zip Code:

Print your desired CU OnLine Password in the box below.  If you do not provide a Password, your online access cannot be set up.  Your password should be 6 to 10 alpha or numeric characters, with no spaces. When using letters, use all CAPITALS and be sure to distinguish between a zero and the letter O, the number one and the letter L, the number two and the letter Z, etc.  Legible printing is very important and only use numbers or letters. For added security, we suggest you change your Password the first time you access CU OnLine

Your Password:    ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

[  ]  If you do not know your Electronic Teller (ET) Personal Identification Number (PIN), check the box and a new one will be mailed to your home address. Your CU OnLine PIN is the same as your ET PIN.  If you check this box, do not attempt to sign on until you receive your new PIN in the mail.

Please note that no notice will be sent that your account has been activated.  To see if your account has been activated, simply attempt to sign on to CU OnLine using your PIN and Password.  Activation could take up to seven (7) days.

I hereby make application and authorize TruGrocer to activate the free CU OnLine access to the account listed above and understand that anyone with whom I share the Password and PIN shall be considered an Authorized User.

Member Signature:

Date:

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