Austral Referrer Program
Please return by post to:
Austral Mortgage Corporation P/L
Level 7, 47 York Street
SYDNEY NSW 2000 |
|
|
Please fax to:
+61 2 9299 1874
Or email to:
Referrer@australmortgage.com.au |
|
Referrer Details:
Referrer
Name: |
___________________________________________________________ |
| Address |
___________________________________________________________ |
| State: |
_______________________________________Post Code: ___________ |
Contact Details:
| Email: |
______________________________________________________ |
| Phone: (H) |
_____________________Phone: (w) ________________________ |
| Mobile No: |
_____________________Fax:______________________________ |
Loan Payment Details:
| Loan / Customer Number: |
______________________________________________________ |
| BSB: |
__________Account No / Loan Split No: _____________________ |
| Account Name: |
______________________________________________________ |
N.B. We recommend that you consult your accountant or financial adviser as to how this payment
may affect you for taxation purposes.
Registered Charity Details:
| Please donate $XXX to: |
______________________________________________________ |
Please sign:
| Signature: |
_______________________________Date:______________________ |
Office Use Only:
| Referrer Name: |
______________________________________________________ |
| Referrer ID: |
______________________________________________________ |
| Registration Processed Date: |
______________________________________________________ |
| Entered By: |
______________________________________________________ |
|
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