Pledge Form
Please tick the box(es) below and complete the information below to show your support and receive regular updates on our campaign.

Yes, I would like to invest in the establishment of Gloucester & District Community Bank Branch.
Pledge amount $ (between $500 and $50,000)


Yes, I would like to support the establishment of Gloucester & District Community Bank Branch and would consider transferring my banking business to the Community Bank branch.

Money is not required now
Please see Pledge page for facts about your indicative Pledge of support.
Name
Address
Occupation
Home Phone
Work Phone
Mobile Phone
Email

What community projects would you like to see funded in your area?



Show your support for Gloucester & District Community Bank Branch. Transfer your banking business now.

Do you currently bank with Bendigo Bank? Yes No
If no, would you like a representative from Bendigo Bank to contact you about your banking business? Yes No

Product Information
For more information about Bendigo Bank products and services please phone 1300 366 666 or visit www.bendigobank.com.au

Privacy
Bendigo Bank is committed to ensuring your privacy is protected and understands your concerns regarding the confidentiality and security of the personal information you provide in your indicative Pledge of Support.

The information contained in this form will be held by the Gloucester & District Community Bank Branch Committee and may be disclosed to Bendigo Bank and organisations that carry out functions on behalf of Bendigo Bank in establishing a Community Bank branch in Gloucester & district. Our full privacy policy is available online at www.bendigobank.com.au

Pledge Forms can be returned to:
• Hannaford Stock and Land 38 Church Street, Gloucester
• Webb Bros Stock & Station Real Estate Agents 83 Church Street, Gloucester
• Visitor Information Centre 27 Denison Street, Gloucester
• Gloucester Rural Supplies 18 Tate Street, Gloucester

Gloucester & District Community Bank Steering Committee, PO Box 242, Gloucester NSW 2422
For further information:
Geoff Marshall: 0429 606 735
Ron West: 6558 9080
John Woodford: 6558 9055
John Edwards 0418 406 220

or Email: gloucesterbank@yahoo.com