Corporate Membership Application Form

We strongly recommend that you read through the form before filling it in so you can prepare the necessary paperwork & details.

Application Form

"*" indicates required fields

About the Organisation

Name*

Trading Name (if different)*

Registered Address*

Street Address Address Line 2 City County Postcode

Email*

Website*

Registered Charity*

Yes

If yes, please provide number

Bank Details

Bank Details*

Sort Code*

Account Number*

Resolution

We the undersigned do declare that at a properly convened meeting of:*

Held on the*

It was resolved that:*

Please provide details of authorised signatories for the account (minimum two, maximum four)

Signatory One

( this will be the main contact person for the account)

Title*

Surname*

First Name/s*

Date of Birth*

N.I.No*

Occupation*

Telephone*

Email*

Current Address*

Street Address Address Line 2 City County Postcode

Tenure*

How long have you lived at this address?

Years*

Months*

If you have lived at the above address for less than 3 years please give your previous address/es

Address*

Street Address Address Line 2 City County Postcode

Tenure*

How long have you lived at this address?

Years*

Months*

Position at the Organisation*

Are you an individual member of Churches’ Mutual Credit Union? YES/NO.

Yes

If No - please upload a copy of ID (valid passport or driving licence preferred)

Max. file size: 150 MB.

Signatory Two

Title*

Surname*

First Name/s*

Date of Birth*

N.I.No*

Occupation*

Telephone*

Email*

Current Address*

Street Address Address Line 2 City County Postcode

Tenure*

How long have you lived at this address?

Years*

Months*

If you have lived at the above address for less than 3 years please give your previous address/es

Address*

Street Address Address Line 2 City County Postcode

Tenure*

How long have you lived at this address?

Years*

Months*

Position in the Organisation*

Are you an individual member of Churches’ Mutual Credit Union? YES/NO.

Yes

If No - please upload a copy of ID (valid passport or driving licence preferred)

Max. file size: 150 MB.

Signatory Three

Title*

Surname*

First Name/s*

Date of Birth*

N.I.No*

Occupation*

Telephone*

Email*

Current Address*

Street Address Address Line 2 City County Postcode

Tenure*

Years*

Months*

If you have lived at the above address for less than 3 years please give your previous address/es

Address*

Street Address Address Line 2 City County Postcode

Tenure*

How long have you lived at this address?

Years*

Months*

Position in the Organisation*

Are you an individual member of Churches’ Mutual Credit Union? YES/NO.

Yes

If No - please upload a copy of ID (valid passport or driving licence preferred)

Max. file size: 150 MB.

Signatory Four

Title*

Surname*

First Name/s

Date of Birth*

N.I.No*

Occupation*

Telephone*

Email*

Current Address*

Street Address Address Line 2 City County Postcode

Tenure*

How long have you lived at this address?

Years*

Months*

If you have lived at the above address for less than 3 years please give your previous address/es

Address*

Street Address Address Line 2 City County Postcode

Tenure*

How long have you lived at this address?

Years*

Months*

Position in the Organisation*

Are you an individual member of Churches’ Mutual Credit Union? YES/NO.

Yes

If No - please upload a copy of ID (valid passport or driving licence preferred)

Max. file size: 150 MB.

Mandate

Please confirm the mandate requirements for this management of the account e.g. any two to sign; all to sign*

Any two to sign

All to sign

Please tell us how you heard about Churches’ Mutual Credit Union*

Please note, Churches’ Mutual Credit Union will take up such references and make such enquiries about the signatories to this account as it considers necessary to satisfy due diligence in the prevention of fraud and/or money laundering. The Credit Union uses a Credit Referencing Agency to establish identification and verification and to prevent fraud and money laundering. The agency used retains your information for 12 months regardless of whether this application is successful or not. This search will not affect your credit score. Data Protection Act 1998: Your Personal Information will be treated as confidential and will only be disclosed a) at your request b) to our agents in managing your accounts c) in the public interest d) to prevent fraud or by the order of the courts or e) taking up references. The Data Protection Act gives you a right to a copy of your personal records held on our files on payment of a fee. We confirm that the information we have provided is correct and hereby authorise CHURCHES’ MUTUAL CREDIT UNION Ltd to make any enquiries it deems necessary to third parties in connection with this application.

Signature 1 (Signatory 1)*

Signature 2 (Signatory 2)*

Signature 3 (Signatory 3)*

Signature 4 (Signatory 4)*

Witnessed By (Signature)*

Name*

Address*