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In the event of my death I hereby nominate the person named below to receive any benefits arising from my Adventist Credit Union accounts. (the beneficiary must be over 16yrs of age) Note: Nominations will be considered on death of the member but they are not legally binding

I hereby apply for membership of, and agree to abide by the rules of, Adventist Credit Union Ltd. I declare that all the information given by me on this form is true to the best of my knowledge.