Fillable Business Choice Change Of Address Form printable pdf download

Business Choice Change Of Address Form

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Westpac Banking Corporation ABN 33 007 457 141

AFSL and Australian credit licence 233714

BusinessChoice Change of Address Form

Please input required information onto this form, print, & sign. Once this form has been completed, please email the form to:

.au or fax to (02) 9374-7003. This form may be emailed directly by a customer.

Company/Business Name

Facility number

Change of Facility Address

Please enter the new registered or postal address for your facility below.

Note: As facility statements are sent to postal addresses when provided, completion of the postal address will alter the statement address for your facility.

Registered Business Address

Town/Suburb

State

Country

Postcode

Postal Address

Town/Suburb

State

Country

Postcode

Change of Card Delivery Address

Please enter the new card delivery address for cards on this facility. Note: This will only alter the mailing address for your card re-issues.

Postal Address

Town/Suburb

State

Country

Postcode

Branch

BSB

Authorisation

This Authorisation must be completed by the following people for the appropriate business type:

• Company (Including any company acting as a trustee) – Sole Directors

• Trust with non-corporate trustee/s – Trustee/s

or 2 Directors or 1 Director and 1 company Secretary

• Other – Authorised signatory/ies as Principal/s

• Partnership – 2 Partners

• Sole Trader – the Sole Trader

This form must be signed in accordance with the current authorisation held by Westpac. Westpac will not act on these instructions unless the

signatories who sign this form are authorised to do so under the current authorisation and in the manner stated in the authorisation.

ABN

ACN

and/or ARBN

By Authorised signatory/Principal 1 (print name)

By Authorised signatory/Principal 2 (print name)

Principal 1 signature

Date

Principal 2 Signature

Date

✗

Westpac Use Only / For In-Branch Submission Only

Westpac representative has verified signature(s) and that the form is signed in terms of authority held. Complete details below.

Where this form has not been signed in Section 3, tick this box to confirm written authorisation (email/letter/fax) has been obtained and signature(s) have been

verified.

Westpac representative’s name

Contact phone number

(

)

Signature

Date

✗

Branch Stamp or

Business Unit Name & Date

Salary Number

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