Membership Application (online)

Credit Union online membership application form. This form is to be completed online and will be submitted automatically for review to the appropriate Credit Union branch. If you have any queries regarding the online application please contact either your local branch or the UFCU.

NB: Applications are subject to approval of the Credit Union Committee.

First Name: *

Please include any middle names if applicable

Last Name: *

Your Email Address:

Please enter your email address (if applicable)

Your Address: *

Please enter your address in full, including postcode

Phone Number: *

Please include full STD code (e.g. 02890112233). No spaces required.

Date of Birth: *

Occupation: *

Please enter your job title

Employer Name:

Please enter the name of your employer (if applicable)

Employer Address:

Please enter the full address, including postcode for your employer

Previous Credit Union Member: *

Yes

Please indicate if you have ever been a member of a Credit Union before

Referral First Name: *

Please enter the name of the person who is recommending you to the Credit Union

Referral Last Name: *

Please enter the last name of the person recommending you to the Credit Union

Select Local CU Branch: *

Please select the Credit Union branch that you wish to submit your application to

Agree to Terms & Conditions: *

Yes

By selecting YES you are agreeing to the Credit Unions Terms & Conditions. A copy of the these can be downloaded within the Online Forms & Downloads section of the website.

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