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Tel: +0035318411348 Fax: 018413865 Email:

25 April 2017
Car Draw Entry Form

Please complete all your details in the form below, and click submit when you have finished.

Car Draw
* Required Fields
Member No: *
Name: *
Date of Birth: *
Email address: *
Phone Number: *
Click here for the full terms and conditions.
Please tick the box to confirm that you agree to the terms and conditions terms and conditions: *I have read and agree to the terms and conditions.
I hereby authorise Progressive Credit Union to deduct five Euro fifty cent every two months from my account: *Please tick the Box to confirm.
PCU will send you notification to the email address provided for confirmation.
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More Info
Progressive Credit Union Tel: +0035318411348 Fax: 018413865 Email: Web:
Progressive Credit Union Limited is regulated by the Central Bank of Ireland. Reg. No: 226CU