Prairie Federal Credit Union


	Membership Application
	click here for loan application


		Applicant's Information...
First Name:
Last Name:
Current address:
City/State/Zip:
Date of birth/E-mail:
Home phone/ Work phone:
Employer:

		Co-applicant's Information...
First Name:
Last Name:
Current address:
City/State/Zip:
Date of birth/E-mail:
Home phone/ Work phone:
Employer:

		You promise that everything you have stated in this application is correct to the best of your knowledge. It is a federal offense for a person to knowingly make a false statement for the purpose of influencing the action of a Federal Credit Union.