Macquarie Credit Union Limited ABN 85 087 650 253 AFSL 241132 BSB 802 126
Additional VISA Request I/We wish to apply for an additional card to operate on my/our account for the person whose name and signature appears below. I/We authorise this person to seek access from the Credit Union to any information concerning any of my/our accounts which may be operated by use of the additional card. I/We agree to indemnify the Credit Union against any loss, damage or penalty which it may incur arising out of the operation of this authority, provided that the Credit Union has acted within the terms of this authority. I/We declare that the Credit Union may act upon this authority until it has received my/our written instructions to the contrary.
ADDITIONAL CARDHOLDER CLIENT NUMBER: SIGNATURE:
DATE:
MEMBER NUMBER: SIGNATURE OF MEMBER:
DATE:
SIGNATURE OF MEMBER:
DATE:
OFFICE USE ONLY DDITIONAL CARDHOLDER A IDENTIFIED
THIRD PARTY AUTHORISATION COMPLETED
C ARD PRODUCTION FORM COMPLETED
11/13
Macquarie Credit Union Limited ABN 85 087 650 253 AFSL 241132 BSB 802 126
Product Information Sheet ADDITIONAL OR SUBSIDIARY CARDS When you authorise us to issue an additional card to another person (a subsidiary card), you remain liable for all transactions the other person carries out using the additional or subsidiary card. You are also liable if the additional cardholder fails to observe the terms and conditions under which the additional card was issued, for example, failing to keep Personal identification Numbers for ATM & Eftpos use safe and secure. We can only cancel the additional card when you return it to us. If you have taken reasonable steps to retrieve the card but cannot do so, we will still cancel the card but may require you to provide us with a written statement setting out the steps you have taken to retrieve the card.
165 Brisbane Street PO Box 1618 Dubbo NSW 2830
T: 1300 885 480 F: 02 6882 6909
[email protected] macquariecu.com.au 11/13
