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.

You can pay your membership fee by check or credit card. 

Check One:
Credit Union-One Participant $75
Credit Union-Multiple Participants $125
Associate Membership $125
Retired Auditor $25
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

           

If paying by check, please make your check payable to CUIAA and mail to:

Ramon Davalos

Credit Union of Southern California

8028 Greenleaf Avenue

Whittier, CA 90602

If paying by credit card, after you hit "Submit" you will be sent to the Application Confirmation Page where you can pay through PayPal's secure site.