Boulder Valley Credit Union

Boulder Valley Credit Union Membership / New Accounts Application

To assist the government fight the funding of terrorism and money laundering activities, the USA PATRIOT ACT requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. When you open an account, we will ask for your name, address, date of birth, SSN, and other information that will allow us to identify you. Boulder Valley Credit Union will maintain the confidentiality of any information obtained in accordance with Boulder Valley Credit Union's privacy policy and applicable laws and regulations. BVCU reserves the right to request additional information to support your identity at any time during the membership application process in order to comply with the USA PATRIOT ACT.

PLEASE NOTE: Required fields are marked with an asterisk(*). This form is SECURE in that it will only be printed locally by your PC and will NOT be transmitted electronically.