Share Withdrawal Application Form
Title
Mr.
Mrs.
Miss
Ms
Surname
First Name
Middle Name
First Line Address
Second Line Address
Town/City
Post Code
Landline Number
Mobile Number
Email Address
Book Number
Is this an emergency withdrawal?
Is this an emergency withdrawal?
Yes
No
If YES, please state the reason
How much do you wish to withdraw?
What Is Your Bank Details?
This is required for online bank transfer (BACS) paymant
Sort Code
Account Number
Authorise Acceptance
I hereby request and authorise a withdrawal from my share capital held in Adventist Credit Union Ltd. I understand and agree that my share capital cannot be reduced to less than the amount of any outstanding loan balance owed by me to the Credit Union.
Signature
Send
