EFT Request ABN 59 087 650 584 AFSL 246941
T 1300 655 116 F 02 9965 1222 P Locked Bag 7003 Concord West NSW 2138 E
[email protected]
Personal details Member number
Contact number
Member name(s)
Residential address State
Postcode
I/we authorise the Credit Union to make the following EFT payment: Member number
From
Account type (s1, s2, etc.)
Type of EFT
Standard
Priority - swift transfer (received same day) Note: Special service fee applies to Account name BSB Account number Amount
$
Reference (if applicable)
Warning: you must ensure that the BSB and account number are correct or your payment may be paid to an account that does not belong to the named recipient. If the payment is made to an incorrect account it may not be possible to recover the funds from the unintended recipient. Note the receiving bank may not validate the account name and may rely soley on the BSB and account number. Standard external transfer transactions requested before 2:00pm (AEST) on a Banking Business Day will be sent to the payee on the same day. Transactions requested after this time may be sent on the next Business Banking Day. When the payee’s account will be credited depends on the policy and systems of the payee’s bank, however they are generally received within 1 to 2 business days. I confirm that I have read, understood and agree to abide by the conditions above.
Member signature(s) Member 1 signature
Date
/
/
Member 2 signature
Date
/
/
Note: This authority must be signed in accordance with the membership signing authority Branch use only Member 1 sig verified
Transaction processed
Member 2 sig verified
Fee charged (priority EFT) Transaction verified
Completed by Op No. Time
Date
/
/ F038_1 02/15