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Online Single Membership Form

Please complete all your details in the form below, and click submit when you have finished.

Single Membership Application Form
* Required Fields
Surname: *
Forename: *
Title: *
Home address: *
Home telephone: *
Date of birth: *
Email address: *
Mobile No: *
Employer’s name: *
Employer’s address: *
Postcode: *
Department/location: *
Date commenced: *
Occupation: *
Work telephone: *
Current/Previous Credit Union Membership
* Required Fields
Please provide below membership details of any current or previous PCU account.
I have current or previous membership of PCU: *
If Yes, please state member no.:
Do you hold membership of any other Credit Union within Great Britain?: *
If yes, please give details:
Affiliated to (Church): *
I heard about PCU through: *
If Other please specify:
I hereby apply for membership of, and agree to abide by the rules of the Pentecostal Credit Union Ltd, and declare that the information given by me on this form is true and correct to the best of my knowledge and belief. False information may render my membership void.
Your signature: *
Designation of beneficiary
* Required Fields
In the event of my death, I nominate the person named below to receive a transfer of any property in the Credit Union as may be mine whether in shares or otherwise
Nominee: *
Title: *
Address of nominee: *
Postcode: *
Relationship of nominee to member: *
Your signature: *
Date: *
Please note that proof of identity is required, in the form of a passport and one utility bill.
I acknowledge receipt of the Financial Services
Compensation Scheme (FSCS) Information Sheet
: *
I confirm receipt of the FSCS sheet.
For the purposes of treating all of our customers fairly, you may be contacted by a third party agency (Accuity) to gain your views of the standard of service that you receive from PCU. This company is approved by us and adheres to the MRS Code of Conduct.: *
Please enter the code shown:
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Pentecostal Credit Union Limited Tel: 0208 673 2542 Email: Web:
Address:15 Oldridge Road LONDON SW12 8PL
Authorised by the Prudential Regulation Authority & regulated by the Financial Conduct Authority & the Prudential Regulation Authority FRN: 213242