Membership Resignation T 1300 655 116 F 02 9965 1222 P Locked Bag 7003 Concord West NSW 2138 E
[email protected]
ABN 59 087 650 584 AFSL 246941
Personal details Member number
Contact number
Member name(s)
Please cancel my/our membership for the following reason(s): Account no longer required Transferring to another financial institution Moving interstate/overseas Dissatisfied with products/services (please specify) Other
I/we authorise the Credit Union to Transfer funds to the following external account: Financial institution name
BSB
Account number
Account name
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.
Member declaration(s) By closing my/our membership with the Credit Union, I/we understand that I/we are still responsible for any transactions that have been authorised prior to the account closure, such as regular Visa debits. I/we will arrange for any such debits to be cancelled directly with the supplier. I/we also confirm that all cards and unused cheques issued on the membership have been destroyed. Member 1 signature
Date
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Member 2 signature
Date
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Note: This authority must be signed in accordance with the membership signing authority
Branch use only Member 1 sig verified Member 2 sig verified
Head office use only
Cancel: Visa/rediCARD
Overdraft
Member type updated
Cheque facility
Direct debits
Shares refunded
Net/phone banking
Payroll deductions
Balance transferred
Dynamic sweeps
Periodical payments
Remove member file & sig card
Completed by
Reviewed by
Op No. Date
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Op No. Date
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F021_1 09/14