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MEMBERSHIP APPLICATION FORM

National Workers Co-operative
Credit Union Limited

I, hereby apply for membership in the name of National Workers Co-operative Credit Union Limited.

Marital Status:

Which forms the “common bond” for membership in the said Credit Union. I hereby agree to abide by the Bye-Laws now in force or any which may be made hereafter.

SIGNATURE OF APPLICANT

By entering your name, you agree to the terms and conditions

Name and Address of nearest Relative (not living with you)

Name and Address of nearest Relative (not living with you)

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BENEFICIARY

National Workers Co-operative
Credit Union Limited

In the event of sickness or death, I hereby authorize

To receive any money owing to me in the Society.

Have you ever been a member of a Credit Union? If so give name(s) of Credit Union.

do hereby Authorize the National Workers Co-operative Credit Union Limited to distribute funds

weekly / bi-weekly/ monthly-as follows:

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

SIGNATURE OF APPLICANT

By entering your name, you agree to the terms and conditions

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VOLUNTARY CHECK-OFF AUTHORIZATION

National Workers Co-operative Credit Union Limited

On receipt of this authorization, to please deduct from my pay weekly/bi-weekly/monthly/ the sum of

$

and to remit same each month, as set out in the existing Contractual Agreement, to the National Workers Co-operative Credit Union Limited, P.O. Box N-100, Nassau, Bahamas: P.O. Box F-41049 Freeport, Grand Bahama. The above may not be revoked unless notice of such revocation is given to you in writing by THE NATIONAL WORKERS CO-OPERATIVE CREDIT UNION LIMITED and myself jointly.and to remit same each month, as set out in the existing Contractual Agreement, to the National Workers Co-operative Credit Union Limited, P.O. Box N-100, Nassau, Bahamas: P.O. Box F-41049 Freeport, Grand Bahama. The above may not be revoked unless notice of such revocation is given to you in writing by THE NATIONAL WORKERS CO-OPERATIVE CREDIT UNION LIMITED and myself jointly.

MEMBER SIGNATURE

By entering your name, you agree to the terms and conditions

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VOLUNTARY CHECK-OFF AUTHORIZATION

National Workers Co-operative Credit Union Limited

On receipt of this authorization, to please deduct from my pay weekly/bi-weekly/monthly/ the sum of

$

and to remit same each month, as set out in the existing Contractual Agreement, to the National Workers Co-operative Credit Union Limited, P.O. Box N-100, Nassau, Bahamas: P.O. Box F-41049 Freeport, Grand Bahama. The above may not be revoked unless notice of such revocation is given to you in writing by THE NATIONAL WORKERS CO-OPERATIVE CREDIT UNION LIMITED and myself jointly.and to remit same each month, as set out in the existing Contractual Agreement, to the National Workers Co-operative Credit Union Limited, P.O. Box N-100, Nassau, Bahamas: P.O. Box F-41049 Freeport, Grand Bahama. The above may not be revoked unless notice of such revocation is given to you in writing by THE NATIONAL WORKERS CO-OPERATIVE CREDIT UNION LIMITED and myself jointly.

MEMBER SIGNATURE

By entering your name, you agree to the terms and conditions