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Bill Pay Request Form

Date: ________________________


First Name: __________________


Last Name: ______________________


Address: ________________


City: __________________


State: ________________


Zip: ___________________


Member account #: _______________


Last 4 digits of SSN: _____________


Email Address: _____________________


Phone Number:

Home ________________


Office ___________________


Cell ____________________


** Please expect your password in your e-mail within 3-5 business days. **

By signing below, I request access to OECU’s on-line Bill Pay bill program. I agree to keep my password confidential and to never disclose my password to any person who is not authorized to sign on the account. I will read and accept the on-line Agreement prior to transacting payments on the Bill Pay program.




Signature of Applicant________________________________________ 

Please print and complete this application and bring it by any OECU office or mail to Oklahoma Educators Credit Union, PO Box 22222, Oklahoma City, OK 73123.