Alternatives Federal Credit Union

Member Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone Number *

Member Number *

Enter your 3 - 7 digit member number - Inacurrate entries may delay the posting of your payment

2 Digit Suffix # *

Enter your 2 digit suffix number - Inaccurate entries may delay the posting of your payment

Payment Amount *

Convenience Fee *

Card Information *

Card Number

Security Code

Name on Card

Expiration/

Schedule Monthly Payment Reminder *

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Alternatives Federal Credit Union