* 1. Our credit union would like to participate in the CU Ledger research and development project on the use of blockchain technology by credit unions.

* 2. Please send me an invoice and agreement, with payment instructions, to submit my credit union's contribution to the project.  I plan to contribute:

* 3. I am interested in my credit union participating as a node in the Credit Union Distributed Ledger. Please send me information on how to participate.

* 4. If you or one of your staff are interested in serving on one of the following committees please check all that may apply:

* 5. Contact Information