Leighlin Credit Union | Leighlin Credit Union Membership Application

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Leighlin Credit Union

Main Street, Leighlinbridge, Co.Carlow

Telephone: 059 9721000 E-Mail: info@leighlincu.ie

PLEASE NOTE you must be over 18 to join Leighlin Credit Union

Please complete the form below

PERSONAL DETAILS

Title *

First Name *

Surname *

Gender *

Date of Birth *

PPS Number *

Contact number

Telephone Number (Landline)

Email *

address details

House Number or Name *

Address Line 1 *

Address Line 2

Line 3

Town

County

Country *

Postcode

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 Line 1

Previous Address Postcode

about you

Please tell us about your employment status

Occupation (maximum 24 characters)

Employer (maximum 24 characters)

Employers address Line 1

Postcode

Telephone (work)

saving with Leighlin Credit Union

how do you intend saving with the credit union (Standing Order / Online T/F / Cash at Counter

Regular Savings Amount

Regular Savings Frequency

Identification

As with any financial institution three forms of ID are required on joining:

Please use the upload facility below to provide the following:
- Photographic ID such as a passport or driving licence
- Proof of residence such as a recent bank statement or utility bill
- Evidence of your Tax Identification Number/PPS Number such as a tax cert, letter from social services, payslip, social services card, medical card or an official document from the Revenue Commissioners
- If membership is based on working rather than living in the area, a letter from your employer may also be required.

These documents can be in photo image (jpeg) or pdf document format

Photographic ID *

Proof of address *

Evidence of your Tax Identification Number/PPS Number *

Marketing and communications

As part of improving our service to you, from time to time, we would like to inform you of goods. services, competitions and/or promotional offers available from us. We may wish to use different means when sending such marketing communications. Please now indicate by which methods, if any, you consent to being contacted by selecting each method of communication below

Tick all that apply to opt in

Email Marketing
Landline Call Marketing
Mobile Call Marketing
Post Marketing
Text Marketing

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Receipt of obligatory notices by email:

There are certain notices that credit unions are obliged to provide from time to time. If you would like to receive these obligatory, non-marketing communications by email (for example, notice of the Annual General Meeting). This will assist Credit Union in reducing its carbon footprint and will reduce costs. Please note that we maintain the right to contact members by such means as best available to us in relation to nonperforming loan or outstanding debt to the credit union, updating personal data, including by text or email.

Can we send you obligatory notices by email? *

Declaration

I consent to Leighlin Credit Union using my data as outlined in the privacy statement *

In making this application I apply for membership of Leighlin Credit Union and agree to abide by the rules. *

I have read understand how my savings are protected under the Central Bank of Ireland Deposit Guarantee Scheme *

How did you find out about the credit union?

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

Credit Union deductions direct from my salary
Borrowing from the credit union
Saving with the credit union
Volunteering with the credit union

To complete your application please ensure your Email address is correct and then select Apply below.