Account Transfer Request - Macquarie Credit Union


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Macquarie Credit Union Limited ABN 85 087 650 253 AFSL 241132 BSB 802 126

Account Transfer Request SECTION A: ACCOUNT DETAILS ACCOUNT NAME: ACCOUNT NUMBER: ADDRESS: Suburb:

State:

Postcode:

BANK NAME: BSB NUMBER:

BRANCH:

SECTION B: DECLARATION Instructions for completion I/We request you to transfer my/our account/s titled above, to the Macquarie Credit Union Limited. Please forward any documentation in regards to this matter to the address stated above, including security/safe custody packets you may hold on my/our behalf. I/We also request that you advise details of any Authorities which are to continue in present form. Macquarie Credit Union Limited – 802 126 NEW MEMBER NUMBER: NAME: SIGNATURE: DATE: NAME: SIGNATURE: DATE:

165 Brisbane Street PO Box 1618 Dubbo NSW 2830

T: 1300 885 480 F: 02 6882 6909

[email protected] macquariecu.com.au 11/13