Online Unit Trust Order Form

TO: RAPID COMPANIES

Ph: (07) 3229 8311
Fax: (07) 3221 9982

FROM: *
TELEPHONE: *
CONTACT NAME: *
EMAIL: *
DATE (DD/MM/YYYY): *
1. SETTLOR: (Must not be a person associated with the Trust/Must be over 18 years of age)
FULL NAME: *
2. TRUSTEE/S: (If Company Name, please provide A.C.N.)
FULL NAME: *
FULL NAME:
3. SETTLEMENT AMOUNT: *
4. NAME OF TRUST: *
5. UNIT HOLDERS:
NAME:
A.C.N. (if applicable):
#UNITS:
PAID:
YesNo
CERT#:
CLASS:
NAME:
A.C.N. (if applicable):
#UNITS:
PAID:
YesNo
CERT#:
CLASS:
NAME:
A.C.N. (if applicable):
#UNITS:
PAID:
YesNo
CERT#:
CLASS:
NAME:
A.C.N. (if applicable):
#UNITS:
PAID:
YesNo
CERT#:
CLASS:
NAME:
A.C.N. (if applicable):
#UNITS:
PAID:
YesNo
CERT#:
CLASS:

PRICE: $330.00 (Including GST)	TERMS: Nett 7 Days
1. Settlor and Trustee (if trustee is a Individual), must be over 18 years old. 2. If Trustee is a Company, please provide the A.C.N. 3. The Settlement amount should equal the amount of units issued times their value (eg. 100 units issued @ $0.10 = $10.00) $10.00 will be the Settlement amount

PAYMENT OPTIONS - PLEASE CHOOSE ONE: *
Direct Credit - Confirmation of payment to be faxed to 07 3221 9982 or emailed to Rapid CompaniesCredit Card - Contact Rapid Companies with details on 07 3229 83117 Day Approved Account
Additional Information / Special Instructions
A PDF copy of this form will be sent to your email address.

Level 1
293 Queen Street
Brisbane QLD 4000

Telephone: (07) 3229 8311
FAX: (07) 3221 9982