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Online Membership Application

Membership Eligibility:
Anyone who lives or works in any of the following Florida counties: Leon, Baker, Broward, Clay, Duval, Flagler, Orange, Hillsborough, Miami-Dade, Seminole, Nassau, and St. Johns is eligible to open an account. Additionally, employees of CSX Transportation and other specified companies are also eligible to join.

You have chosen to apply for membership using our online membership application.

Before you begin, below are a few helpful tips for filling out this form:

The approximate time needed to complete the application is up to 20 minutes.

  • To move quickly through the process, please have the following important information ready for all owners and beneficiaries on the account:

 IMPORTANT INFORMATION

PRIMARY APPLICANT

JOINT     APPLICANT

 BENEFICIARY

Current Address

Home Phone

Social Security Number


*Provide either SSN or DOB

Date of Birth


*
*Provide either SSN or DOB

Driver’s License or ID Number

 

D/L Issuing State

 

D/L Issuing Date

 

Place of Employment

 

Date of Hire

 

Work Phone

 

  • The membership application cannot be “saved”, and started over. If you “quit” the application or the “session expires” (after 15 minutes of inactivity) – you must start a new application again - from the beginning.

  • You’ll be required to print a “Signature Card” at the end of completing the application. If you cannot print the signature card, then download it and print it at a later time.

Are you ready to begin?
By clicking
Yes, you’ll be taken to the online membership application.

If you are a minor (less than 18 years of age), please click  here to access membership application for minors.

If you are not yet ready to proceed, click
No to learn more about how Seaboard is working hard every day to help enrich people’s lives.

 

For More Information
Call (800) 766-4328, ext. 1 [in Jacksonville, 359-6800, ext. 1]