
Sheffield
Credit Union
Please complete and return to: 6 The Gallery, Castle Market, Sheffield S1 2AJ
Full name .................................................. Membership no..................
Address .................................................................................
.......................................................................................................Postcode
I wish to withdraw £ ............. from my share account.
I understand that I cannot withdraw shares to below the level of any outstanding loan.
I understand that if my share balance drops below £5 the Board of Directors has, with notice, the discretion to withdraw membership and the balance on the account may be declared to be forfeit to the Credit Union.
Signature of Applicant
Date of Application
.
Please tick which method of payment you require:
□ By BACS transfer to my nominated bank account in the name of ...................................
Account number ................................ Sort code ............................
□ By cheque to my home address
□ By cheque / cash at the main office
□ By cheque to ........................................... Collection Point
Signature of applicant on receipt of cheque - main office and collection point options only
..... .......................... . Date ...................
Witnessed by .................................... (Collection points only)
| For office use only Current balance £................. Checked by ...................... Date ................ Cheque number ................ Issued on ............ |
Authorised and regulated by the Financial Services Authority 213679 Produced 08/07/2005