Apply Online Charities and Clubs Direct 30 (Issue 2)

My AccountsPlease complete the form below to apply to open a Charities and Clubs Direct 30 - Issue 2 Account.

Please note this is a secure form and personal details may be entered with confidence. Once you have submitted your details we will write to you within 5 working days to confirm if your application has been successful. If there are any issues with your application we will contact you using the details provided.

This account can only be opened by new customers who live within the following postcode areas: NP, CF, SA, LD, WR, GL, HR & BS. Existing Society customers may open this account.

Fields that are marked * are mandatory.

I / we apply to open a Charities and Clubs Direct 30 - Issue 2 Account.

Organisation Details

Name of Organisation:  * 
Address of Organisation:  * 
Postcode:  * 

Contact Name

 Please note for this person to have access to account information they must also be an authorised signatory. 

Title  * 
Forename (s)  * 
Surname  * 
Correspondence Address
 (if different from above)  
Postcode
Contact details  *  Day time telephone number  
 Evening telephone number  
 Mobile telephone number  
Email address

Authorised Signatories – This section MUST be completed by at least one signatory

Signatory 1

Title
Forename(s)
Surname
Date of birth
Gender
Permanent address  (if different from above) 
Postcode  (if different from above) 
Contact details  Day time telephone number (if different from above) 
 Home / Mobile telephone number (if different from above) 
Email address
Nationality
Are you an existing customer?
 Occupation: 
 Employment Status: 

Signatory 2

Title
Forename(s)
Surname
Date of birth
Gender
Permanent address
Postcode
Contact details  Day time telephone number  
 Home / Mobile telephone number 
Email address
Nationality
Are you an existing customer?
 Occupation: 
 Employment Status: 

Signatory 3

Title
Forename(s)
Surname
Date of birth
Gender
Permanent address
Postcode
Contact details  Day time telephone number  
 Home / Mobile telephone number  
Email address
Nationality
Are you an existing customer?
 Occupation: 
 Employment Status: 

Signatory 4

Title
Forename(s)
Surname
Date of birth
Gender
Permanent address
Postcode
Contact details  Day time telephone number  
 Home / Mobile telephone number  
Email address
Nationality
Are you an existing customer?
 Occupation: 
 Employment Status: 

Financial Services Compensation Scheme Eligibility

 We require the following information regarding your eligibility under the Financial Services Compensation Scheme (FSCS) cover.
 
1. Are you a small local authority (e.g Parish council, community council)?
* 
 If yes, please provide documentary evidence confirming your annual budget figure before your eligibility can be confirmed.
 
2. Is your firm a private/public limited company?
  If you answered No to question 2, you do not need to answer any further questions in this section.

If you answered Yes to question 2, please note that although limited companies are covered by the FSCS scheme, the Society must establish whether the limited company is a small or large limited company for FSCS purposes. Please complete questions 3-5 below.
 
3. Is your turnover less than £6.5m?
4. Is your balance sheet total less than £3.26m?
5. Do you employ less than 50 employees?
 (The Society is part of the Financial Services Compensation Scheme (FSCS). Details of the Scheme and who is covered by it can be found at www.fscs.org.uk.) 

Investment Amount

I / We wish to invest £  *  (being the initial investment) 

Withdrawal instructions

 I / We authorise the Monmouthshire Building Society to accept online withdrawal requests submitted via the ‘My Accounts’ service, using the organisations’ login details, in favour of the bank account entered on this application. 
I / We require all withdrawals to be transferred to the organisations bank account as follows, using the ‘My Accounts’ withdrawal facility, for which we apply below:

Bank Account Name:  *  the exact account name as it appears on the cheque book 
Bank Name:  * 
Bank Address:  * 
Postcode:  * 
Sort Code:  * 
Account Number:  * 

Operating you Account - please use BLOCK CAPITALS

I / We apply to view and withdraw from this account via the Society's 'My Accounts' service in the name of the Organisation and provide the following information required to complete the registration (The password and memorable information MUST be between 8 and 15 characters):
Contact Email Address:  * 
Password:  * 
Memorable Word/Phrase:  * 

 The Society will use these words to register your organisation for access to view, and withdraw from, your account via our ‘My Accounts’ service, and will be needed at each login. We will write to your organisations correspondence address provided above with the login details once the registration is complete. We recommend that you change your organisations password and memorable information regularly for security reasons.

It is very important you keep a record of the information supplied in this section to enable you to use this service.
 

Customer Declaration

Important Information – it is important that you read and understand the terms within the declaration
 I/we confirm that the body named above is a company, other corporate body or unincorporated association and declare that the sum shown on the application form is being invested in Monmouthshire Building Society by me/us as a trustee for the organisation named there, and that I am an/we are officer(s) of the said body duly authorised to make this investment on its behalf.   * 
I/we confirm that I/we have read the following:
 General Terms and Conditions for Savings Accounts   * 
 The Account specific terms and conditions   * 
 The Interest Rate(s) applicable to this account   * 
 I/we accept that the Society may decline my/our application.   * 
 I/we consent and acknowledge that the Society will carry out an electronic check to verify my/our identity.   * 
 I/we agree to the terms and conditions applying to the account and the General Terms & Conditions for Savings Accounts, and to be bound by the Rules of the Society, a copy of which is available on request.   * 
 I/we authorise the Society to operate the account according to the instructions indicated in this application form.   * 

Use of your Personal Information

 • Information you give us will be used by us to provide and manage your account.

• The information may be used by the Society and its subsidiary companies for its own use in respect of marketing, business analysis or similar purposes.

• Unless you choose otherwise, you consent to being informed of other products and services by post, telephone or electronic means.

• The Society will keep your information after your account is closed.

• If it is necessary to the running of your account, essential information about your account may be given to others. Information may also be given to people acting as our agents, who will keep it confidential.

• Under the Data Protection Act 1998 you have a right of access to your personal data held. Upon payment of a single fee, we will give you a description of the data, the purpose for which it is processed and to whom it may be disclosed. You also have a right to have incorrect data corrected.

• We will treat all your personal information as private and confidential (even when you are no longer a customer). We will not give your details to anyone (even other companies in our group) unless: we have to give the information by law; there is a duty to the public to disclose it; you request us to disclose it, or we have your permission to do so; or our interests require us to give the information (for example, to prevent fraud). We will not use this as a reason for giving information for marketing purposes.

• I/we consent to you holding and processing my personal data for the purposes explained above.

Keeping you informed about other products & services


The Society would like to contact you by post, telephone or electronic means using the contact details which you provided in this form, to tell you about our financial products, services, promotions, offers and events in relation to savings, mortgages, general insurances which may be of interest to you, and to introduce you to or pass your details to our subsidiary companies. By submitting this application you are agreeing to your information being used in this way. Only tick the following boxes if you do not wish to be contacted by:
 

 Post    Telephone    Electronic Means    
How did you hear about this product / service?  * 
If other, please specify:
 


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