Plugged In Application

Please Note: This application is for our members aged 16 to 22. If you are not in this age group but want to sign up for an LACU account, (hooray!) then please click here.

Promotion Code
I am applying for the following services:
(click all that apply)
free checking account with debit card e-Branch Bill Payer e-Statements
Linn Area Member #
First Name(required)
Last Name(required)
Date of Birth(required)
Street Address(required)
City(required)
State(required)
Zip(required)
Home Phone
(w/ Area Code)(required)
Cell Phone
(w/ Area Code)(required)
Email Address(valid email required)
Social Security Number(required)
Will there be a joint owner joint owner on the account?
yes no
If yes, complete the following:
Joint Owner - First Name
Joint Owner - MI
Joint Owner - Last Name
Joint Owner - Social Security Number
Joint Owner - Date of Birth
Are you 17 or younger?
yes no
If yes, complete the following:
A parent's first
and last name
Parent's daytime phone #
(w/ area code)

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*By submitting this application, I agree to be financially responsible for maintaining a checking account and debit card. I have read the regulatory disclosure information and agree to the terms and conditions set forth.

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