CU: R.O.A.R. Enrollment Form

For questions about CU: R.O.A.R. contact Jim Phelps at jphelps@cornerstoneleague.coop or call 800-442-5762 ext. 6481.

Name
 
Credit Union Name
 
Email Address
 
Daytime Phone
  
Cell Phone
  
How long have you worked at your credit union?
 
What is your current title?
 
Are you currently registered to vote?

Please list the names of your State Representative, State Senator and Member of Congress.

Arkansas Representatives
Oklahoma Representatives
Texas Representatives

 
Do you currently have a personal or professional relationship with a state or federal lawmaker?

If yes, please list the names below:
 
Are you willing to, or are you already participating in, any of the following advocacy activities?






Would you have an interest in being a volunteer in a campaign?

Are you active in your local Chamber of Commerce?

Do you participate in your local credit union chapter?

How would you like to be more involved in advocating for your credit union?