Payroll deduction form

Flamesavers CU Ltd
4 Kingsyard, Rope Street, Stoke-on- Trent Staffs ST4 6DJ Tel: 01782 615220
Reg.No. 338C. Established 1993

member details
Address details
Service details

As a member of the above Credit Union I hereby request the following amendment to my current payroll deduction

In submitting this form to agree to changes to your current payroll deduction with Flamesavers Credit Union Ltd