3M EMPLOYEES’ (ONTARIO) CREDIT UNION LTD.

Tel: (519) 451-2500 ext: 2597 Fax: (519) 452-6023

APPLICATION FOR SHARE WITHDRAWAL

Date:………../………./……….. Account # …………………

Day Month Year Employee Number

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Please issue to:……………………………………………………………………. a cheque in the amount  

of $............................................................................................../………….cents    and charge my share account

Signed:…………………………………………………….……….

My Department Mail Code is:……………………………………

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