Credit Union Internal Auditors' Association

 _______________Helping Credit Unions Succeed_______________





Membership Application/Renewal Form


Use this form for both sending in your initial membership application or for doing your annual renewal.  This allows CUIAA to make sure our database is up-to-date with all your credit union and personnel information. If you have more participants than available spaces below, please e-mail the remaining information to Ramon Davalos by clicking on the his name below.

CUIAA membership is FREE for all Internal Auditors and Supervisory Committee members who want to participate in an association designed for assisting them in carrying out the responsibilities of an internal audit department.  Membership gives you access to the members only section that contains valuable information and to the discussion group system for asking peers how they are solving problems.

PLEASE FILL IN THE APPLICABLE BOXES, PRINT THIS PAGE AND FAX IT TO RAMON DAVALOS AT:  562-698-7627.  IF PAYING BY CREDIT CARD USE THE PAYPAL BUTTON BELOW.  IF PAYING BY CHECK USE THE MAILING ADDRESS BELOW.

Ramon Davalos

Credit Union of Southern California

8028 Greenleaf Avenue

Whittier, CA 90602

Please Complete:
Name of Credit Union/Company

Participant's Name     

Position     

Street Address or P.O. Box

Phone     

City/State/Zip

Fax     


E-mail     


Asset Size $

Participant's   Name      

Position      

# Branches

Phone     

CPA Firm

Fax     

Data Processing System

E-mail     

     Participant's' Name Participant's Name
                       Position Position
                         Phone Phone
                             Fax Fax
                         E-Mail E-Mail
     Participant's Name Participant's Name
                      Position Position
                        Phone Phone
                            Fax Fax
                        E-Mail E-Mail