DENNERY COMMUNITY CREDIT CO-OPERATIVE SOCIETY LTD.
APPLICATION FOR JOINT MEMBERSHIP
First Middle Last (alias)
We hereby apply to purchase twenty permanent shares in the Dennery Community Credit Co-operative Society Ltd. We agree to conform to the by-laws of the Credit Union and Co-operatives Act.
Seconded by: ________________________
Proposed by: ________________________
In the event of death of either, all monies should be paid upon the signature of the survivor.
We hereby nominate the following person(s) to whom or to whose credit the interest or the value of such share or interest held by us in the said Society shall in the event of our death be paid or transferred (in the proportions respectfully shown hereunder).
If beneficiary is a minor (under the age of 16) you are required to name a legal guardian.
________________________Signature of account holder 1
________________________Signature of account holder 2