Sheffield
Credit Union Sheffield
Credit Union Full name .................................................. Membership no..................
Address .................................................................................. ..................... ....
Postcode ... Contact telephone number ........................................
Your loan
I wish to borrow £.............. Previous number of loans: ..........
Reason for loan .....................................................................................................................
Current share balance (if known) £ ............ Current loan balance (if applicable) £ ..........
Please indicate your loan repayment method.
Standing order □ Payroll deduction □ Central office □ Collection point □
I wish to pay: Weekly □ Monthly □
Amount I wish to pay: Loan £ ........... Savings £ ............... Total £ ...............
Please indicate how you wish your loan to be paid to you:
□ By BACS transfer to my nominated bank account in the name of ...................................
Account number ................................ Sort code ............................
□ By cheque to my home address
□ By cheque at the main office
□ By cheque to ........................................... Collection Point
If you will be cashing your cheque at a post office please state where ...................................
Loan repayments will include interest at the rate of 1% per month on the outstanding balance. I understand that I cannot withdraw shares to below the level of any existing loan. If I pay by standing order I agree to instruct my bank to change my payments as necessary. If I pay through payroll deductions I will submit a revised payroll deduction form as necessary. I declare that to the best of my knowledge I am in good health.
Signature of Applicant
Date of Application
.
Authorised and regulated by the Financial Services Authority 213679 Produced 08/07/2005