Whitmore Reans Credit Union
JUNIOR MEMBERSHIP APPLICATION
221 Waterloo Terrace,
Newhampton Rd East,
Wolverhampton, WV1 4BA
Tel: 01902 571271. e.mail wrcu@live.co.uk.
www.wrcu.net
Membership Number:
Your Details
Male
Female
Date Joined
Collection Joined
Surname
Forename(s)
Home Address
Post Code
Date of Birth
Home Tel:
Alternative Tel:
E mail Address
I hereby apply for membership of Whitmore Reans Credit Union on behalf of the minor named above. I understand that
I am responsible for the account until he/she reaches 16 years of age at which point he/she will assume responsibility
for the account.
SIGNED (Parent /Guardian)
DATE
For Office Use:
Identity verified (Parent /Guardian): Y/N
Verified By:
FSA registration no: 213533
Date;
Entered on data base on:
Signed:
An ABCUL Member Credit Union
FSA registration no: 213533
An ABCUL Member Credit Union