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Plane Saver Membership Application

Personal Information

Title:*	A value is required.
Firstname:*	A value is required.
Surname:*	A value is required.
Birth Date:*	Please select a valid item.
Sex:*	Please select a valid item.Please select an item.
National Insurance No:*	A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Address line 1:*	A value is required.
Address line 2:
Town/City:*	A value is required.
State/Province:*	A value is required.
Postal/Zip Code:*	A value is required.
Country:*	Please select a valid item. A value is required.
Home Phone:*	A value is required.Invalid format.
Mobile Phone:
Email:*	A value is required.Invalid format.
Create a Password:*	A value is required.
Marketing	By submitting this application form, you will be indicating your consent to receiving product and service information by letter, phone or e-mail from us and our partners unless you have indicated an objection to receiving such information by ticking the above box Please tick if you do not wish to receive your statement by email

Data Protection & Customer Search Notification

In terms of the Data Protection Act 1998, Plane Saver Credit Union (PSCU) is data controller of the information you have provided on this form. This information will be used internally within the PSCU in order to process your membership entitlements. It will not, without your consent, be discolsed to anyone outside of Plane Saver Credit Union.

Plane Saver will do a search to verify your identity, this involves checking details you supply against those held on any databases Expreian - the credit reference agency - has access to. This includes information from the Electoral Register and fraud prevention agencies. This is not a credit check.