New Membership

Apply for a North Coatbridge Credit Union membership

Complete the form below then we will contact you with your membership details.

Common Bond

You must live or work in either an ML5 or ML6 postcode to join North Coatbridge Credit Union

Applicant Details

Title: *
Forename: *
Middle Name(s): *
Surname: *
Date of Birth: *
National Insurance: *
Gender: *
Email Address: *
Home: *
Mobile: *

Address Details: *

Please add your address history, starting with your most recent. We require your address history for the past 3 years (up to a maximum of 5 addresses).
To add an address, enter and search your postcode, select your address and the date you moved in, and click add.

Postcode:
Select address:
Date moved in:

Employment Details

Employment Status: *
Employer: *
Work Phone Number: *
Work Email: *
Company Name: *

Employer Address: *

Beneficiaries

Title: *
Relationship to applicant: *
Home:
Mobile:
Forename: *
Surname: *

Address: *

Member number:

Add Payees

Reference:
Account Holder: *
Sort Code: *
Account: *
Maximum: 3

Marketing Preferences

I wish to be kept up to date by email with our changing products and services: *
I wish to be kept up to date by SMS with our changing products and services: *
I wish to be kept up to date by Post with our changing products and services.: *
I wish to be kept up to date by Post with our changing products and services.: *

Confirmation

Before applying you must read the FSCS guidance, membership terms and conditions, and any other documents listed. Please click the terms and conditions link below to view these.

I confirm I have read and agreed to the terms and conditions of this application.*

I nominate the person(s) named above to be beneficiaries for receiving any monies due, payable in the event of my death, by completing and signing below: *

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