Businesschoice Credit Card Switch Application Form

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Westpac Banking Corporation ABN 33 007 457 141
AFSL and Australian credit licence 233714
BusinessChoice Credit Card Switch Application Form
Before you complete this application form, please read the Acknowledgements and Consents, including Protection of Your Privacy, on page 3 of this form.
1. Your Existing Card
4. Principal 1 Details
This section must be completed by the following people for
BusinessChoice MasterCard Credit card
appropriate business type:
BusinessChoice Rewards Credit card
• Sole Trader – the Sole Trader
BusinessChoice Everyday Charge card
• Partnership – 2 Partners
• Trust with non-corporate trustee(s) – Trustee(s)
BusinessChoice Everyday Credit card
• Company (including any company acting as a trustee) – Sole
Facility No. ➤
Director or 2 Directors
OR
• Other – Authorised Signatory(ies) as Principal(s)
Billing Account No.
Customer no.
2. Issue My New Card As
Westpac customer
BusinessChoice Rewards Credit card
Title
Full given name(s)
BusinessChoice Everyday Credit card
Your new card will be issued as a VISA.
Middle initial
Family name
Date of birth
Please tick (3) here
if you would like a MasterCard instead.
/
/
3. Company / Business Details
Are you known by any other name?
Company name (as registered by ASIC) or organisation name
No
Yes
Please specify
Current residential address (No PO Box)
Mailing name for the business (e.g. Mr. John Citizen, Managing
Director)
Suburb/town
State
Postcode
ABN
ACN
and/or ARBN
Previous address (if at current address less than 3 years)
Registration date
Place of registration
Suburb/town
State
Postcode
/
/
Registered business address (No PO Box)
Home phone number Work phone number Mobile number
(
)
(
)
Suburb/town
State
Postcode
5. Principal 2 Details (must be completed if more than
one Principal / Director)
Postal address (if different to business address)
Customer no.
Suburb/town
State
Postcode
Westpac customer
Title
Full given name(s)
Business phone number
Business fax number
(
)
(
)
Middle initial
Family name
Date of birth
Principal place of Business Address (if different from above) (POBox is
/
/
not acceptable)
Are you known by any other name?
No
Yes
Please specify
Suburb/town
State
Postcode
Current residential address (No PO Box)
Primary business activity
Suburb/town
State
Postcode
Business email address
Previous address (if at current address less than 3 years)
Westpac customer no.
Suburb/town
State
Postcode
Existing Westpac BSB
and Account or Card number
Home phone number Work phone number
Mobile number
(
)
(
)
Note: It is an offence under the Anti-Money Laundering and Counter
Terrorism Financing Act 2006 to give false or misleading information
or documents.
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BCF008 (03/14) 368429

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