IAS ADULT - OPEN TO NEW MEMBERSHIP - JOIN US NOW! 

Authorised by the Prudential Regulation Authority and regulated by the 
Financial Conduct Authority and the Prudential Regulation Authority 
 
The account that pays you money when you're too ill to work. 
I apply to become a member under the terms of the INDIVIDUAL ACCOUNT SYSTEM of THE GRAND UNITED ORDER OF ODDFELLOWS FRIENDLY SOCIETY 
I declare the statements, whether in my own handwriting or written on my behalf are true and complete. I also declare that I am currently in good health and not receiving any treatment for any medical condition for which treatment is ongoing and could be considered terminal. No material facts or circumstances regarding myself have been concealed . I confirm that I will be resident in the United Kingdom when contributions are paid. (NB – An Individual is regarded as a resident if absences from the United Kingdom are only of a temporary nature (eg for business or pleasure) and for tax purposes the United Kingdom comprises England, Scotland, Wales and Northern Ireland. A copy of the terms of membership will be made available on request along with a copy of this application form). I further declare that I do not have any other Tax Exempt Plans (excluding ISA’s) with this o r any other Friendly Society and that by taking out this plan, my maximum entitlement of £25 per month or £270 per annum to Tax Exempt Savings Plans is not exceeded. Furthermore, I declare that the total of my contributions to this plan and other taxable qualifying policies does not exceed £3600 per annum.