Membership application form
To be eligible to join the Credit Union, you need to be aged 18 or over.

Please note that this process is not a 'real time' transaction and that there will be a short delay between your submission and the application being processed within the credit union office.

  • 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 or:
  Flat number:
  Street *
  Town *
  Postcode: *
Time at address:   years months
Sex: *
Date of birth: / / * (Age: )
National insurance number: *
Ethnicity: *
E-mail: *
Home telephone: *
Mobile telephone:
ID verification methods:
Work details:
Employment status: *
Beneficiary details:
Beneficiary name: *
Relationship to you: *
Beneficiarys address: House/Flat No and street name: *
Town: *
Postcode: *
Beneficiarys contact number: *
Banking details
Sort code:
Account number:
Building society roll number: (if applicable)
Name on account:
Additional information
* Save paper; Have your annual statement emailed to you by selecting 'I do', if not annual statements will be sent by post to your home address
I * wish to receive my annual credit union statement via email.
I * wish to receive promotional information from the credit union via email.
You may wish to access information regarding your account by telephone. In order to protect you, you will be asked for a password before any information is given to you over the telephone.

Please enter the password you would like to use: *


I understand that in accordance with the General Data Protection Regulations the credit union will hold and process my personal details for legitimate and legal purposes ensuring they provide me with a high standard of service to protect my privacy. My personal details will be treated confidentially and will only be shared with trusted partners. I have read and understand the 'Privacy Notice'. Under Current Money Laundering Regulations I understand that the Credit Union must obtain verification of my full name, permanent address and date of birth before my account can be opened. By submitting this form I agree to an online Identification check. * (please tick to confirm)


I agree 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. * (please tick to confirm)

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