Junior Application Form

Please make sure you read our general terms and conditions before you apply.

Junior Details
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Application
Name*
Title Forename Middle name/s Surname
Date of Birth*
DD
MM
YYYY
Before we set up your Junior Account, we need some proof of identification. This can either be a passport or birth certificate. Simply upload a photo or scanned copy of the document.
Please ensure that the photo shows all of the document and is clear.
Max. file size: 32 MB.
If you have trouble uploading the document, you can send this to us via email at id@no1copperpot.com
Existing Member's Details
I give my consent for processing data on behalf of the junior.
Member Number*
Forenames(s)*
Surname*
Residential Address*
Street Address Address Line 2 City Postcode
Mobile phone number*
Relationship*
If you would like email confirmation that this form has been submitted, please enter your email address here
Savings Method
How would you like to save?*
The maximum that can be held in a Junior Account is £10,000. You can transfer a lump sum into the account by either:
- Calling the office and making a debit card payment
- Sending a cheque to us
- Transferring funds from an existing Member Account into the Juniors Account.
How much would you like to save each month?
How would you like to save monthly?
If saving by payroll, would you like to increase your payroll deduction by the amount you have stated above?
And for the final bit...
Please tick to receive:
- We would like to send you an annual junior newsletter which includes our birthday card competition.
Please tick to confirm:*
- I have read and understood the terms and conditions.
Click here to read the terms and conditions.
Please tick to confirm:*
- I have read the FSCS Information Sheet and Exclusions List.
Click here to view the FSCS Information Sheet and Exclusions List.
Please tick to confirm:*
- I have read the privacy notice.
Click here to view the Privacy Notice.
Signature of existing member*
Date submitted*
Day
Month
Year
No1 CopperPot Credit Union is covered by the Financial Services Compensation Scheme and the Financial Ombudsman Service. You have 14 days from the date your account is opened within which to cancel it. If you wish to cancel please write to Slater House, Oakfield Road, Cheadle Royal Business Park, Cheadle, Cheshire SK8 3GX.

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Junior Details

Existing Member's Details

Savings Method

And for the final bit...

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