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SW00	(09/08)	42775
Credit	Card	Switch	Application	Form	–	Online
Westpac	Banking	Corporation	ABN	33	007	457	4
Before	you	complete	this	application	form,	please	read	the	section	Protection of Your Privacy	shown	on	the	reverse	of	this	form.
Cards	are	normally	mailed	to	you,	however	for	security	purposes,
your	card(s)	may	need	to	be	delivered	to	the	Westpac	branch	you
4.	 Your	CArd	ColleCtion	detAilS
PleASe	SiGn	BeloW
iMPortAnt:	BY	SiGninG	BeloW,	i	AGree	to	the
ACknoWledGeMentS	And	ConSentS	ContAined	on	the
reverSe	of	thiS	APPliCAtion.
I	acknowledge	that	the	interest	rate(s),	interest-free	period,	annual
fee	and	other	fees	applicable	to	the	new	Earth	card	to	which	I	am
switching	may	differ	from	those	that	apply	to	my	existing	Westpac
I	understand	any	annual	fee	conditions	on	my	new	card	will	apply,
independent	of	any	annual	fee	I	have	already	paid	on	my	existing
Westpac	credit	card.
Please	do	not	attach	any	additional	documents	to	this	application.
Should	further	information	be	required	we	will	contact	you.
To	apply	now,	return	your	completed	application	form	to
(no stamp required):
reply	Paid	4138
Sydney	nSW	2001
fax:	1300	760	866
If	your	application	is	approved,	a	letter	will	be	sent	to	you	within	0
days,	advising	you	of	the	card	delivery	details.
Your	current	residential	address	(no PO Box addresses please)
1.	 PleASe	tell	uS	ABout	YourSelf (Please print)
Full	given	name(s)
Date	of	birth
Street	name	and	type
Home	phone	number
Work	phone	number
Are you or your additional cardholder known by any other name?
If	yes,	please	provide	details
note:	It	is	an	offence	under	the	Financial	Transaction	Reports	Act
(988)	to	make	a	false	or	misleading	statement.
2.	 Your	eXiStinG	WeStPAC	Credit	CArd	detAilS
Name	on	card
Earth	Gold	(*†)
Earth	Platinum	(*^)
note:	*all	Earth,	Earth	Gold	and	Eart