Online Membership Application 1. LET'S GET STARTED 2. ADDITIONAL INFORMATION 3. SECURITY 4. PRODUCTS & SERVICES 5. FINAL Thank you for your interest in becoming a VyStar member. Here's what's required to get started: You are at least 18 years old You are a U.S. Citizen or Resident Alien $5 for your initial deposit A U.S. Driver's License, Passport, Military ID, or State ID (If using a Military ID or Passport, other documents may be required.) Your Social Security number Your online banking login credentials Determining Eligibility VyStar Credit Union is available to most residents in the state of Florida, southeast Georgia, and their families. The following information will help us determine your eligibility for membership. First Name Please enter your name as it appears on your identification card MI Last Name Suffix Select one... DDS DVM MD JR PHD SR II III IV Date of Birth Social Security Number Contact Information Email Address Mobile Number Home Number Home Address Street Address Please enter your full street address, including apartment/suite/etc. number. Home address cannot be a PO Box. City State Select one... Florida Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut D.C. Delaware Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Philippines Virgin Islands Zip Code SAVE ADDRESS USA Patriot Act Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account, in order to help the government fight the funding of terrorism and money laundering activities. What this means for you: When you open an account, we will ask you for your name, address, date of birth and other information that allows us to identify you. CONTINUE Privacy Policy Disclosures