Holiday	Date	Hours
New Year's Day	January 2	Closed
MLK Day	January 14 and 16	Closed
President's Day	February 18 and 20	Closed
Good Friday	April 7 April 8	Open 9am-1pm Closed
Memorial Day	May 27 and 39	Closed
Juneteenth	June 17 and 19	Closed
Independence Day	July 4	Closed
Labor Day	September 2 and 4	Closed
Columbus Day	October 7 and 9	Closed
Thanksgiving Day	November 23	Closed
Christmas	December 23 and 25	Closed
New Years Eve	December 30	Closed
New Years Day	January 1	Closed

(716) 634-3881 6470 Main Street, Suite 5 Amherst, NY 14221

Amherst Membership Application

Single Application*

Joint Application*

Which account would you like to open?

Primary Account Holder

First Name*

Middle Initial

Last Name*

Date of Birth*

Social Security No.*

Driver's License No.*

Driver's License State*

Address*

Address 2

City*

State*

Zip Code*

Phone (Best contact phone #)*

Email*

Employment Information

Current Employer*

Position*

Employee Start Date*

Beneficiary

Full Name*

Present Address*

Address 2

City*

State*

Zip Code*

Social Security Number

Co-Applicant

First Name

Middle Initial

Last Name

Date of Birth

Social Security No.

Driver's License No.

Driver's License State

Address

Address 2

City

State

Zip Code

Phone (Best contact phone #)

Email

Employment Information

Current Employer

Position

Employee Start Date

Oops! We have invalid fields. Double check the form before we can submit.

2023 Holiday Hours

Amherst Membership Application

Primary Account Holder

Employment Information

Beneficiary

Co-Applicant

Employment Information