Select CMAIssued by Westpac Banking Corporation | Managed by DDH Graham Limited
Withdrawal FormPlease complete form in BLACK INK using CAPITAL letters.
1 ACCOUNT NUMBER
2 ACCOUNT NAME (IN FULL)
3 WITHDRAWAL DETAILS
Amount of withdrawal $ Do you wish to close this account? Yes No
4 BANK TRANSFER
A. Transfer to bank account details on file
B. Transfer to bank, building society or credit union details below:
Bank, building society or credit union name
Branch number (BSB) Account number/membership number
Account name (in full)
DDH Statement Reference (max. 18 characters)
Receiving Account Reference (including Tax Office Reference, if applicable)
Please specify timing: Overnight Same day (a fee applies for same day transfers)
For same day transfers to third parties pleaseprovide their residential address (not PO Box)
5 CHEQUE REQUEST
Bank cheque (a fee applies for bank cheques)
Payee/s Amount
1. $
2. $
3. $
Dispatch method
Please post to:
will collect from Level 9, 324 Queen St, Brisbane on / /
6 SIGNATURES
Signature Signature
Name Date Name Date
DDH GRAHAM LIMITED | ABN 28 010 639 219 | AFSL NO. 226319 - WESTPAC BANKING CORPORATION | ABN 33 007 457 141 | AFSL NO. 233714 Page 1 of 1
DDH Money Market, GPO Box 330, Brisbane QLD 4001 | Phone: 07 3229 6133 | Fax: 07 3229 2014 | [email protected] | www.ddhgraham.com.au
Add as Pre-nominated Account*
*Pre-Nominated Account is an Account you have nominated in writing, and we have approved, for access using withdrawal requests, subject to approval limits.
