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Member Survey Form

Home/Member Survey Form

Member Survey Form

Last NameAddressCityTelephoneFirst NameZip CodeStateEmailShare Type (Checking) 0-300Share Type (Checking) 501-1000Share Type (Saving) 301-500Share Type (Saving) 1001-2000Share Type (Saving) 0-300If any of the "Other" boxes are checked, please explainShare Type (ShareCertificate) 301-500Share Type (Checking) 2001-2500Share Type (Checking) 1001-2000Share Type (ShareCertificate) 501-1000Share Type (Business Checking) 1001-2000Share Certificate Type (6month) 301-500Share Type (Other) 2501-3000Share Certificate Type (24month) 301-500Share Certificate Type (Over 24month) 2001-2500Loan Type (Used Vehicle) 1000-5000Loan Type (1st Mortgage) 5001-10000Loan Type (Other) Over 10000most preferred way while transacting credit union business (Other, please explain)Signature Inline
Last NameAddressCityTelephoneFirst NameZip CodeStateEmailShare Type (Checking) 0-300Share Type (Checking) 501-1000Share Type (Saving) 301-500Share Type (Saving) 1001-2000Share Type (Saving) 0-300If any of the "Other" boxes are checked, please explainShare Type (ShareCertificate) 301-500Share Type (Checking) 2001-2500Share Type (Checking) 1001-2000Share Type (ShareCertificate) 501-1000Share Type (Business Checking) 1001-2000Share Certificate Type (6month) 301-500Share Type (Other) 2501-3000Share Certificate Type (24month) 301-500Share Certificate Type (Over 24month) 2001-2500Loan Type (Used Vehicle) 1000-5000Loan Type (1st Mortgage) 5001-10000Loan Type (Other) Over 10000most preferred way while transacting credit union business (Other, please explain)Signature Inline
By Jason Armour|2022-10-20T15:10:37+00:00February 28th, 2022|Comments Off on Member Survey Form

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The African Diaspora Council condemns all forms of racism and unjust law enforcement practices that result in the death of unarmed individuals in police custody. In partnership with African immigrant leaders in the Greater St. Louis region, we hereby express our sincere condolences to the family of the late Mr. George Floyd.

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