Membership Application

Please be prepared to upload the following:

  • 2 forms of identification — Drivers License and a 2nd ID (the 2nd ID can be your SSN card, Work Photo ID, other government ID, passport, or current debit/credit card)
Membership Eligibility *
  • - select a option -
  • Richmond Public Schools
  • Virginia Union University
  • Bon Secours Richmond Community Hospital
  • Metroplitan Business League and Association
  • City to City Auto Sales (MBL Partner)
  • Southside Community Development and Housing Corporation
  • Education Services Corporation n of Virginia
  • The Market @25th Street (MBL partner)
  • Live, work or worship in Blackwell, Manchester or Swansboro
  • Immediate family members of any current member
  • Urban League Young Professionals
  • Other

Account Type

Select Account Type *
Please Specify

Member application and ownership information

Member /Owner *
Street *
Date of Birth *
Street *
City *
Zipcode *
State *
Work Phone *
Home Phone *
Email *
Driver's Lic No. *
Employer *

Account Services

Account Services

Payable On Death Designations (Optional)

Do you want to designate a Payable on Death (POD) representative on this account?

Click on plus icon to add more


UTMA – Uniform Transfers to Minors Act account (Optional)

Do you want to open an UTMA account for a minor (age 1 year to 17 years old)
Custodian 1 (For Minor Optional)
Custodian 1 - Name
Custodian's Address
Date of Birth
Custodian 2 (For Minor Optional)
Custodian 2 - Name
Custodian's Address
Date of Birth
As Custodian(s) For Minor
As Custodian(s) for Minor Name
Minor's SSN/TIN
Minor's age under the Virginia Uniform Transfers to Minors Act

UTMA Designation of Successor Custodian (Optional)

Pursuant to the Virginia Uniform Transfers to Minors Act, I hereby designate succerror custodian(s) for all account listed in the "ACCOUNT TYPE" section. This designation shall take effect only upon my death, resignation, incapacity or removal
Successor name
Signature of Custodian
Signature of Witness

Designate ownership of the accounts and responsibility for the services requested

Designate ownership *
Joint Owner
Home Phone
Work Phone
Driver's Lic No.
1st ID ( Driver's License )
Upload your documents...
2nd ID ( SSN Card or Work ID or Passport, or Current credit card or Debit card )
Upload your documents...
Sign Here *
Name *
Date *
* Please make sure your ID information is clear and readable. If not, we cannot process your application.
Step 1: Upload Valid Driver's License *
Upload your documents... (Max File Size 10mb)
Step 2: Upload 2nd ID - SSN Card Work ID, Debit Card, Credit Card, Passport. Voter's Card, Other Governmant ID *
Upload your documents... (Max File Size 10mb)