personal account

Aug-05

New Account Application Form

Type of Account

At Call

Term Deposit

PO Box 457 WANGARATTA VIC 3676 ph (03) 5721 3484

Project

(please tick)

PERSONAL ACCOUNT Please open an account with the Anglican Development Fund in the name(s) of : (a)

(b) (please show full names and title eg Rev'd , Mr, Mrs)

TAX FILE NUMBERS or exemptions (eg aged pension, child)

(a)

(b)

At Call

I/we wish to deposit the sum of $…………………. At …...%pa paid quarterly

Term

I/we wish to deposit the sum of $…………………… (complete below)

Project

I/we wish to deposit the sum of $………………….. And receive no interest. Instead my parish/project being…………………………………will receive a gratuity from the Diocese.

All parties to sign

CONTACT DETAILS Postal Address Post Code Telephone (W)

Mobile

Telephone (H)

Email

JOINT ACCOUNTS Future transactions may be given by: (Please specify - 'any one of us', 'all') TERM DEPOSIT INVESTORS Term Requested

months

Interest Rate Applicable

Preferred payment method:

Reinvest

Cheque

Credit ADF Account No

EFT - Credit Bank Account Name BSB

__ __ __ - __ __ __

Nominated Parish /diocesan organisation for ‘bonus’ .25% interest

Account Number