Membership application form
Applying for membership of Harlowsave is easy and is open to anyone who is aged 18 or over, lives or works in Essex or East Hertfordshire or who lives with a relative who is already a member. Click here for our membership eligibility criteria.

You will need to provide at least two forms of ID which must include a proof of address and a valid photo ID (Passport, Birth Certificate, Driving Licence).

Please note: once your account has been set up it can only be activated after you make your first deposit and start saving regularly. Unfortunately, if your account is not activated within 3 months of joining it will be removed.

Please note that this process is not a 'real time' transaction and that there will be a short delay between your submission and the application being processed within the credit union office.

  • ALL fields marked with an " *" are mandatory and you must enter/select the appropriate information.
Personal Details
Title: *
Forename: *
Middle name(s):
Surname: *
Household status: *
Home address House number / name: *
  Flat number:
  Street: *
  Town: *
  Postcode: *
When did you start living here:  /   / 
Gender: *
Date of birth:  /   /  * (Age: )
National insurance number: *
Ethnicity: *
E-mail: *
Home telephone: *
Mobile telephone:
Do you pay tax outside of the United Kingdom ? *
Savings Preference *
ID verification methods
Please provide a mimimum of one of the following items in order to verify your identity.
Driving licence number
Passport number
Work details:
Employment status: *
Beneficiary details
Beneficiary name: *
Relationship to you: *
Beneficiarys address: House/Flat No and street name: *
Town: *
District: *
Postcode: *
Beneficiarys contact number: *
Banking details
Sort code:
Account number:
Building society roll number: (if applicable)
Name on account:
Additional information
I * wish to receive annual statements from the credit union via email. Statements not sent via email will be sent via post.
I * wish to receive promotional information from the credit union via email.
In accordance with the principles of the Data Protection Act 1998 we will use your personal details for the purposes of establishing your identity and managing your account with the Credit Union. Your personal details will be treated confidentially and will only be shared with other agencies for the purpose of credit referencing and debt recovery for which the credit union hold the appropriate Consumer Credit Licence.
I to abide by the rules of the Credit Union and declare that the information given by me on this form is true and correct to the best of my knowledge and belief.
By submitting this form, you are agreeing to an online ID check. This is not a credit check. *( please tick to confirm )
Click here to download a copy of the FSCS Information Sheet.
Further copies can be requested at any time by contacting

I have read the above FSCS Information Sheet and downloaded a copy for future reference. * ( please tick to confirm )
Human verification