MAIN OFFICE
841 Portion Road, Suite H, Ronkonkoma, NY 11779-8400

Telephone - (631) 585 - 4600

Fax - (631) 585 - 5080

BROOKLYN OFFICE
1845 Utica Avenue, Brooklyn, NY 11234-2122

Telephone - (718) 531 - 6955

Fax - (718) 763 - 7086

Please complete the following and a membership package will be mailed to you.

	Last Name
	First Name
	Street Address
	City
	State
	Zip Code
	Phone Number (daytime)
	CWA Local

I would like to open an account at the CWA Long Island Federal Credit Union
and I am interested in the following services:

	Savings
	CDs
	IRAs
	Checking
	Vacation Club
	Holiday Club
	Strike Fund Club
	VISA Card
	ATM Card
	Personal or Secured Loan
	Auto Loan
	Student Loan