Use the form below to apply for Capitol Credit Union membership eligibility for an employer group or organization. Please complete the information as requested. Click on the Submit button to send the application to Capitol Credit Union. Once we are in receipt of the application, a CCU Representative will call the Contact Person listed on the application to discuss the details of the membership process.

Company/Organization Name
Physical Address
Mailing Address
Type of Company/Organization
Number of Years in Business
Distance from CCU Main Office
Distance from nearest CCU Branch
Number of Employees

 History of Company/Organization

Payroll office is based in
ACH capabilities?	Yes	No

Contact Person
Title
Phone Number
Name of Highest Ranking Official
Name of Payroll Coordinator
Name of Personnel Department Head

This application can be printed and submitted via mail or fax to:

	Capitol Credit Union P O Box 12946 Austin, Texas 78711-2946
	Fax: 512-477-5560

Or click on the Submit button to send the application now.

• Am I Eligible?
• Select Employer Group Application
• Field of Membership Listing
• New Membership Request