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Cancellation of Stop Payment Request

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					Cancellation of Stop                                      Police & Nurses Credit Society Limited
                                                                                ABN 69 087 651 876
                                                                                                      PO Box 8609, Perth BC,
                                                                                                      Western Australia 6849

Payment Request                                                                        AFSL 240701
                                                                       Level 7, 130 Stirling Street
                                                                                                          Telephone 13 25 77
                                                                                                           www.pncs.com.au
                                                                                    Perth WA 6000




MEMBER DETAILS

Member Name        __________________________________________ Membership Number ___________________________

Account Name       __________________________________________ Account Number                                      ___________________________




CANCELLATION REQUEST

Please cancel the stop payment on the following cheque:

Cheque Number __________________________________________ Amount _____________________________________

Payee              ______________________________________________________________ Date ______ /_____ /______

OR

Please cancel the stop payment on the following cheques:

Cheque Number __________________________________                            to       Cheque Number _________________________________




AUTHORITY

Authorised Signature (as per current signing authority)


 X                                              Name __________________________________                             Date ______ /______ /______
Signature One


 X                                              Name __________________________________                             Date ______ /______ /______
Signature Two




OFFICE USE ONLY

Stop payment received by ___________________________________                               Date ______ /______ /______ Time __________

Signature verified             Yes              No

Faxed to savings support by ________________________________________________                                     Time _______________________

Restriction removed date ______ /______ /______                            Operator No. _________________________________________
                                                                                                                                                  MS-013 (01/10)




Note: Send this advice to Savings Support

				
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Description: Cancellation of Stop Payment Request