Fond St. Jacques
Credit Co-Operative Society Ltd.
Fond St. Jacques
Tel:
(758) 459-7706
Ext 2
Cell:
(758) 724-8268
Soufriere
Tel:
(758) 459-7706
Ext 1
Cell:
(758) 724-8268
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Application for Business Account
FOND ST JACQUES CREDIT CO-OPERATIVE SOCIETY
APPLICATION FOR BUSINESS ACCOUNT
Account #
New A/C
A/C Update
Date
Type of Business
Recreation / Club
Association / Religion / Educational / Charitable
Corporation
Sole Proprietorship
Other (Type of Business)
Business Name
Address
Mailing Address
(If Different from Address)
Busines Phone#
Format: 1758-555-5555
Business Fax#
Format: 1758-555-5555
Busines Email
Business Website
Authorised Signatories
NAME OF AUTHORISED SIGNATORY 1
NAME OF AUTHORISED SIGNATORY 2
Signature___________________________
Signature___________________________
Title/Position
Title/Position
Home Phone #
Format: 1758-555-5555
Home Phone #
Format: 1758-555-5555
Work Phone #
Format: 1758-555-5555
Work Phone #
Format: 1758-555-5555
ID #
ID #
NAME OF AUTHORISED SIGNATORY 3
NAME OF AUTHORISED SIGNATORY 4
Signature___________________________
Signature___________________________
Title/Position
Title/Position
Home Phone #
Format: 1758-555-5555
Home Phone #
Format: 1758-555-5555
Work Phone #
Format: 1758-555-5555
Work Phone #
Format: 1758-555-5555
ID #
ID #
All transactions on this account must be signed by
(select one below):
Any One Signatory
Any Two Signatures
The Following Signatories
ANNUAL INCOME
Under $25,000
$25,000 - $50,000
$50,000 - $100,000
above $100,000
Purpose for Opening Account
Savings
Business
Charity/Social Work
Bill Payments
Remittances
Other Purpose for opening account
Source of Deposits
Employment Income
Rental/Lease Income
Business Income
Remittances
Investments
Pension
Sale of Assets
Social Assistance
Donations
Other Source of Deposits
Method of Deposits/Payments
Cash
Cheque
Salary Deductions
Bank Deposits
Wire Transfer
Other Deposit Methods
Average Number of Monthly Deposits
Average Value of Monthly Deposits
(in $)
Details for values above $5,000.00
Please provide the following based on type of business (as indicated on page 1)
Recreation/Club
Recent meeting minutes reflecting approval for the account to be opened and assigning transactional authority
Valid identification cards of Officers
Association/Religion/Educational/Cheritable
Assignment Letter
Certfication signed by Secretary authorizing signature authority
Valid identification cards of Officers
Corporation
Copy of your Registered Articles of Incorporation
Copy of operating By-Laws
Letter from Secretary stating who holds position/s and signing authority
Valid identification cards of Officers
Sole Proprietorship
Copy of Registered name
Assignment Letter
Valid identification cards of Officers
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