Please complete the following items by entering information on how to contact your credit union and the county(ies) in which your credit union has service capabilities.* = Required fields.
Date*:
Contact Person's Name*: Title*:
Credit Union Name*:
Main Office Address*: City*: Zip Code*:
Main Office Telephone Number*:
Listed below are the name of all Michigan counties. Please click in the box provided for each county in which your credit union has the capability for providing service to members. A map of Michigan is on the previous page to help you locate county names.