...Select one from the list..
Bison (60 Bison Drive)
Ellice (1-1085 Ellice Ave.)
Grant Park (1200 Grant Ave.)
Henderson (1366 Henderson Hwy.)
Marion (255 Marion St.)
McPhillips (2136 McPhillips St.)
Regent (100-855 Regent Ave. West)
Selkirk (282 Main St., Selkirk, MB)
Southdale (190-115 Vermillion Rd.)
St. James (3421 Portage Ave.)
St. Vital (1602 St. Mary's Rd.)
Personal Information of
Personal Information of / Joint
Applicant / or Spouse
I hereby make application for membership with Cambrian Credit Union Limited (hereinafter referred to as the Credit Union) and certify that the
information I have provided is true and correct. I have read, understand and agree to the terms and conditions of the membership agreement
provided to me. I hereby consent to the conduct of a personal investigation by or for the Credit Union including the use of my Social Insurance
Number. The personal investigation may involve enquiries from any credit bureau, as well as any current or former financial institution, lender,
landlord or employer. This is to allow the Credit Union to assess my creditworthiness now and in the future. The information to be collected
relates to my borrowing and repayment history and performance. The Credit Union is authorized to disclose financial information to other financial
institutions, lenders or credit bureaus, on direct enquiry by any of them to allow ongoing assessment of my creditworthiness now and in the future
and I agree to indemnify the Credit Union from any claims arising from any such disclosure by the Credit Union. This consent, authorization and
indemnity shall continue in effect as long as my loan or membership in the Credit Union continues, even if I have later given a specific consent
to a personal investigation for a particular loan or loans.
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By entering below my name and today's date and then selecting SUBMIT, I agree to all of the forgoing including authorizing the use of my personal information by the credit union as set out above.