Please fill out the fields in the form to the right. One of our representatives will contact you within one business day to complete the process.

This form supports the maximum level of encryption technology your browser allows, up to 256-bit SSL encryption to protect your personal information while it is in transit. Please view our Privacy Policy for more information.

New Member Application

Personal Information

  • OK Name is required
  • OK Street Address is required
  • OK City is required
  • OK State is required
  • OK A valid Zip is required
  • Phone Number

    - -
    OK Phone Number is required
  • OK A valid Email Address is required
  • OK Employer Name is required


  • OK How did you hear about us? is required
  • OK Referred By is required
  • Optional OK is required

Security Code

  • OK is required
  • DVA Federal Credit Union reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, I/we grant full permission to do so.

  • This document is being secured using SSL encryption provided by your browser. Your information will be encrypted when using this form while in transit between your browser and DVA Federal Credit Union.