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Change of Address notice Change of Address notice

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					                                                                                                    Change of Address notice
 To notify us of a change of address or contact details, please complete this form and return to:
 U.C.I.S, Reply Paid 674, BRISBane QLD 4001 (no stamp required). PLeaSe PRInT
 Full name                                                              Investment number/s


 Previous details
 Address                                                                Phone (day)
                                                                         (      )

                                                                        Phone (after hours)
                                            postcode                     (      )

 New/Current details
 Address                                                                Correspondence address (if different from street address)




                                            postcode                                                                 postcode
 Phone (home)                                                           Mobile phone
  (     )
 Phone (business)                                                       Email
  (     )
 New details effective from
                /          /                Signed

  U.C.I.S 60 Bayliss St, Auchenflower Qld 4066 Reply Paid 674, Brisbane Qld 4001 1300 655 653                            www.ucis.com.au
                                                                                          An activity of The Uniting Church in Australia (QLD Synod)

Office use only     Amendment effective from date      Proc       Ckd               CIS
CHofaDD 12/06          /       /                       /      /                                                                 S/I

                                                                                                    Change of Address notice
 To notify us of a change of address or contact details, please complete this form and return to:
 U.C.I.S, Reply Paid 674, BRISBane QLD 4001 (no stamp required). PLeaSe PRInT
 Full name                                                              Investment number/s


 Previous details
 Address                                                                Phone (day)
                                                                         (      )

                                                                        Phone (after hours)
                                            postcode                     (      )

 New/Current details
 Address                                                                Correspondence address (if different from street address)




                                            postcode                                                                 postcode
 Phone (home)                                                           Mobile phone
  (     )
 Phone (business)                                                       Email
  (     )
 New details effective from
                /          /                Signed

  U.C.I.S 60 Bayliss St, Auchenflower Qld 4066 Reply Paid 674, Brisbane Qld 4001 1300 655 653                            www.ucis.com.au
                                                                                          An activity of The Uniting Church in Australia (QLD Synod)

Office use only     Amendment effective from date      Proc       Ckd               CIS
CHofaDD 12/06          /       /                       /      /                                                                 S/I

				
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Description: Change of Address notice Change of Address notice