Membership Application Form
Membership Application Form
Membership Application Form
Edmonton, Alberta
Beneficiaries
Complete Name Date of Birth Relationship
In the event of death, I appoint the above listed beneficiaries to withdraw the proceeds of my fixed deposits or any
benefits I am entitled to.
Should my membership be approved, I promise to:
Subscribe the minimum share capital of CAN$1,000.00 and thereby paying in lump sum
open a savings account and gradually save for a period of ten (10) months until such time that the
minimum shar capital is completed.
I promise to abide by the duties and responsibilities of a full pledged member - to deposit regularly, pay obligations
promptly, patronize, promote and support the cooperative's Programs and Services.
I hereby certify that the above infotmation are true and correct and that I will abide with the rules, policies and
philosophies of the cooperative.
Any false information given above upon certification shall be an AUTOMATIC CAUSE OF DISQUALIFICATION OF
TERMINATION of my membership.