Manx Credit Union | Manx Credit Union Membership Application Form

Title *

First Names *

Surname *

Nationality *

National Insurance Number *

Date of Birth *

Contact phone number (a mobile number if possible) *

Home telephone

Email *

Postcode *

Address Line 1 *

Address line 2

Address Line 3

Town

How long have you lived at your current address? (enter number of full years) *

If you have lived at your current address for less than 3 years, please provide details below

Previous address house number or name

Previous address postcode

What is your employment status?:

Occupation/Job Title or main benefit if unemployed

Based At

One of the purposes of a credit union is to help people save and we encourage members to save regularly, even if it is only a small amount. Please indicate how often and how much you would like to save below – this does not commit you and you can change your mind at any time.

Regular Savings Amount

Regular Savings Frequency

Regular Payment Method

Proving your identity is simple. In the email acknowledgment that will be sent to you shortly after you have submitted this form, we will ask you to provide details to confirm your identity and your address.

Please provide details of a beneficiary. A beneficiary is someone that would inherit your savings with the credit union in the unfortunate event of your death.

Beneficiary Title *

Beneficiary First Name *

Surname *

Beneficiary Address Line 1 *

Beneficiary Postcode *

I authorise Manx Credit Union Ltd. to share information as detailed in the privacy notice.

I declare that the information given by me on this form is true and correct, to the best of my belief. *

I Consent for Manx Credit Union Ltd. to Store Sensitive Personal Data as Appropriate *

I am interested in finding out more about (please tick as applicable)

Mobile App to check on my balances and transactions
Engage Visa Debit Card - exclusive to credit union members
Credit Union deductions direct from my salary (needs co-operation from your employer)
Borrowing from the credit union
Saving with the credit union
Volunteering with the credit union

Equality and Diversity Monitoring (voluntary declaration)

I confirm I have read the compensation information and understand how my deposits are protected. *

PLEASE NOTE:
When we confirm your membership, if you are employed by one of our Payroll Deduction Partners we will establish your regular deduction. If you are not saving via payroll deduction you can set up your own standing order or request a Standing Order instruction from our office.

Please tell us how you found out about Manx Credit Union

Please tell us how we should normally communicate with you. If you agree to receiving marketing material we will use your preferences selected. (Please Note: This does not prevent Manx Credit Union Ltd. from contacting you in any format should we need to pursue non payment of loans)

How do you wish to receive communications from the Manx Credit Union?

Email
Telephone
Post

Which is your preferred method for communications?

Do you wish to receive news about new developments? *

When you click the Apply button below, you will be provided with a summary of the options you have selected on the next page. You will be then be able to confirm your application.