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Please complete this form to register for the Members' Area
 
Fields marked with an "*" are mandatory.
 
Membership number: *
Full name: *
First line of address and post code: *
Date of birth: / / *
NI number: *
Home phone number:
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E-mail address: *
 
Your 'PIN' is required each time you want to login to the members' area
 
Enter your preferred 4-digit PIN *
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Your 'login password' is required each time you want to login to the members' area

Note: This password is case sensitive, please use something memorable.
 
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Your 'share withdrawal password' is required each time you want to withdraw funds.

Note: This password is case sensitive, please use something memorable.
 
Share Withdrawal Password: *
Confirm your Share Withdrawal Password: *
 
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