Membership application form

We will process your membership application within an hour of you submitting it. Any applications received over the weekend or on public holidays will be processed by noon the following working day.
We may need to contact you to provide further Identification if our electronic verification fails

To be eligible to join the Credit Union, you need to be aged 18 or over.
  • ALL fields marked with an "*" are mandatory and you must enter/select the appropriate information.
PERSONAL details:
Title: *
Forename: *
Middle name(s):
Surname: *
Household status: *
Home address House number/name:
  Flat number:
  Street *
  Town *
  Postcode: *
Time at address:   years months
Sex: *
Date of birth: / / * (Age: )
National insurance number: *
Ethnicity: *
E-mail: *
Home telephone: (if you only have a mobile, enter it here) *
Mobile telephone:
ID verification methods:
Please provide a mimimum of one of the following items in order to verify your identity.
Driving licence number
Passport number
Work details:
Employment status: *
Next of kin:
Your savings will be passed on to the below nominated person upon your demise. These details will also be used as an emergency contact for you.
Next of kin name:
Relationship to you:
Next of kin address: House/Flat No and street name:
Next of kin contact number:
Banking details
Providing banking details will speed up the process of making BACS withdrawals over the phone. Filling it in is not compulsory but will help in the future.
Sort code:
Account number:
Building society roll number: (if applicable)
Name on account:
Additional information
I * wish to receive annual statements from the credit union via email. Statements not sent via email will be sent via post.
I * wish to receive promotional information from the credit union via email. Please note: This will helps us make sure we offer you the right products to help you achieve your goals.
Where did you hear about us ?
Why did you join ?
What are your financial goals ?
What products do you have elsewhere ?



In accordance with the principles of the Data Protection Act 1998 we will use your personal details for the purposes of establishing your identity and managing your account with the Credit Union. Your personal details will be treated confidentially and will only be shared with other agencies for the purpose of credit referencing and debt recovery for which we hold the appropriate Consumer Credit Licence.


I * to abide by the rules of the Credit Union and declare that the information given by me on this form is true and correct to the best of my knowledge and belief.

By submitting this form, you are agreeing to an online ID check. This is not a credit check.


Click here to download a copy of the FSCS Information Sheet.
Further copies can be requested at any time by contacting

I have read the above FSCS Information Sheet and downloaded a copy for future reference. * ( please tick to confirm )
Human verification