Telephone Banking Application and Maintenance.FH10 by lindayy


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									                                                                                                                                                 Member no.

                                                                                     Telephone Banking Application/Maintenance

                  First name and Surname or Business name
 My name is

 Accounts with any form of signing authority restriction (for example, ‘both or two or more to sign’) can only use the Account Information Line (Telephone
 Banking) for balance enquiries and inwards funds transfers. Transfers out of accounts and BPAY® are not available.

 I request the following

              Telephone Banking service facilities                                            for all accounts I own
              (You must enter a 4-8 numeric Telephone Banking Passcode
               in the boxes provided at the bottom of the page.)                              for all accounts I own or am a signatory to

              I confirm that I have received and acknowledged the Terms and Conditions.
              (Note: This request will not be able to be processed unless acknowledgement of the Terms and Conditions has been indicated.)

 I request the following changes to existing Telephone Banking services

              Alter the passcode for this facility               Close this facility                        Lock this facility                            Unlock this facility (Enter the new
              (Enter the new Telephone Banking                                                                                                            Telephone Banking Passcode
              Passcode at the bottom of the page)                                                                                                         at the bottom of the page)

 It is important that you read and understand the declaration for the Telephone Banking facility you require.

 I hereby apply for access to Telephone Banking and understand that the passcode can be used to:
   · Obtain account information on my accounts via the Member Contact Centre
   · Authorise transactions on my accounts via the Member Contact Centre
   · Access the Account Information Line to perform transactions and/or obtain information on my accounts
 I agree that all accounts under this membership are to be linked to this service.
 Passcodes must be kept confidential and not disclosed to any person other than appropriate employees of Community CPS Australia Ltd (Community
 CPS and incorporating United Community).
 I acknowledge and agree that my signature on this form signifies receipt and acceptance of the appropriate product information, terms, conditions, fees
 and charges documents which form part of this application.
 Choose your own temporary default passcode by writing down 4 to 8 numbers only in the boxes at the bottom of the page.
 When you access the Telephone Banking system for the first time you may be asked to change your temporary default passcode. If you are not prompted
 to change this temporary default passcode, we recommend that you select option 5 to change your passcode. We also recommend that you choose a
 passcode that would be difficult for anyone else to guess. Please do not choose numbers from your member number, birth date, or any simple sequence
 as these may not work with the Telephone Banking system.
 Your passcode can be changed at any time by calling the Account Information Line on 13 14 02 and selecting Option 5.

  Important Privacy Information
  When you complete this form you will be giving us personal information. By signing it you acknowledge that you have received and had the opportunity
  to read our Privacy Statement, which contains important information about our management of personal information. For more information, see our
  Privacy Policy which is available on request or on our website.

 Member/Signatory 1
                                                                                                                When complete, forward this form by facsimile or post to:
  Signature                                                                                                     Post:                                                 Facsimile:
                                                                                                                Community CPS Australia                               (08) 8231 3060
  Member no.                                                                                                    Attn: Membership Services
                                                                                                                GPO Box 1430
                                                                                                                Adelaide, SA 5001
                            /                /

  Administration section
         A/c Info                       Telephone Banking                       A/c Info Line                    Signature
         Line added                     Passcode altered                        removed                          checked

  Operator ID                                                     Date
                                                                            /         /

Telephone Banking Passcode - this is a temporary default passcode & must be changed when you access the Telephone Banking system for the first time.

                                                        This section of the form will be destroyed once the Telephone Banking Passcode is entered onto your membership.

                                                        Please select 4-8 numbers only

                                                                                Community CPS Australia Ltd                                                                   AT021F080507
                                 Adelaide 44 Waymouth Street, Adelaide SA 5000. GPO Box 1430 Adelaide, SA 5001. Telephone: 13 25 85. Facsimile: (08) 8231 3060
                                Canberra 105 Mawson Drive, Mawson ACT 2607. Locked Bag 1000 Mawson, ACT 2607. Telephone: 13 25 85. Facsimile: (02) 6286 0560
                                          ABN 15 087 651 143 AFSL 237856 Email: Website:

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