CU Application to Participate

If you are a credit union and you like to participate in the CUSBFA, please complete the form below.

* Required Field
Request Type	New Request Request to Update Information
* Name of Credit Union
* Street Address
* City
* State	-- Choose State -- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania PuertoRico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming
* Zip Code
* Primary Contact's Name
* Primary Contact's Email Address
* Primary Contact's Phone Number	() - ext
* Select Associated CUSO	-- Choose Select Associated CUSO -- We Do Not Work With A CUSO Central Corporate Credit Union Michigan Business Connection Commercial Alliance
Please select your MI-SBTDC region Click here to see MI-SBTDC Regions and Counties served. You may select more than one region.
*MI-SBTDC Region	Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8 Region 9 Region 10 Region 11 Region 12
* County/Counties your CU Serves
Comments
Security Code What's this?