Share Certificate Application

All rates are subject to change at any time, without notice.

Call 330-535-3611 for the most current rate information.

Share Certificate Authorization Form
First Name:
Last Name:
Home Phone: XXX-XXX-XXXX
Work Phone: XXX-XXX-XXXX Ext:
Date of Birth:
Home Address:
E-mail Address:
Amount of Certificate: $
Choose Term desired: 6 Months    12 Months  
24 Months   36 Months
Comments or Special Needs:
By checking here I authorize the FirstEnergy Family Credit Union, Inc. to make a one-time transfer of funds from my share account to my share certificate account. The credit union will send your certificate in the mail within 5 business days. You will be notified if your request can not be processed.

Authorization Notice:
By submitting this application to the credit union, you certify that everything you have stated in this application is correct to the best of your knowledge. All submittals are subject to verification of the information provided. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on applications made to Credit Unions insured by NCUA.