*required fields

Are you a Summit Credit Union member?*

Yes

If No, you must be a member of Summit Credit Union to join Red SHOES. Become a Member today. After becoming a member, please return to this page to complete this form.

First Name *

Last Name *

Street *

City *

State *

Zip Code *

Phone

Email *

Preferred Branch Location *

Red SHOES User Agreement *

For participation in and access to all Red SHOES benefits, I agree to the following withdrawals from my Summit Credit Union Account: $35 enrollment fee upon registration (includes workbook and first year participation) $5 quarterly participation fee beginning in year two and recurring until I give written notice ($20/year)

Last 5 digits of the primary account to be debited from *

Sub Summit account to withdraw funds from *

Primary Checking

Primary Savings

Why are you interested in joining the Red SHOES program?

What do you hope to gain from the program?