EFT App Form

SGP - EFT
Commissions paid via Electronic Funds Transfer

This attached form is designed to assist Mannatech with gathering the necessary data to enable us to pay
your commissions direct to your bank account and to send your commission summary via email.
Please follow the instructions on the form carefully to ensure your details are captured correctly, and in
particular note:
• One form is required for each Associate position you hold;

• The form/s must be signed by the Mannatech accountholder/s to which this form relates;
• Even if we already have your email address on file, if you do not provide it where indicated, your summary
statement will continue to be posted to you;
• The details you provide will be used for the payment of Commission cheques only.
• If a payment or statement is rejected, it will be returned to Mannatech for investigation. We will
endeavour to contact you to obtain the correct information. Upon receipt of this information, your
Mannatech account will be updated and the returned items redirected;
• Any subsequent change to your bank details needs to be provided by submitting a new form, signed by
the authorised signatories; and
• For security reasons, you will not be able to change your email address by email or over the phone. This
is to prevent Commission statements from being emailed to an address not authorised in writing by the
accountholder.
Commissions can only be credited to bank accounts in the same country as the Associate/s position.
Please remember to retain all statements and tax invoices for taxation purposes.
For more information, please contact the Customer Service team on phone (02) 8437 7400 (Aus) or +612
8437 7400 (NZ) or 800 130 1597 (SNG)
ALL PRICES IN australian DOLLARS

SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT NOTICE. PAGE 1 OF 2 MOD # S.1801516.1009
SGP - EFT
Request for Electronic Distribution of Commission payment / Commission statement.

Please complete and return this form by post to Mannatech – Locked Bag 5000 St Leonards 2065 Australia, fax to 1300 361 828
(Australia) or 0800 333 260 (New Zealand) or 800 130 1598 (Singapore), or email to [email protected] if you would
like your payments credited directly to your Australian, New Zealand or Singapore Bank, Building Society or Credit Union.
Associate Number Associate NAME:
If your bank account details are not changing, but you are updating your email address only, you do not need to resupply your bank
account details.
PLEASE CREDIT FUTURE PAYMENTS TO THE FOLLOWING ACCOUNT

COUNTRY OF RESIDENCE AUSTRALIA NEW ZEALAND Singapore

Bank Name: (eg. CBA, ANZ, NAB, ASB, DBS etc)

Branch address:
Commissions can only be credited to
bank accounts in the same country as the
Bank/Branch details (must be 6 digits for Account Number (must not exceed 9 digits for AUS, 10 digits for NZ or 11 digits for SNG)
Associate/s
position. AUS/NZ (must be 7 digits for Singapore)
Account Details:
Australia -
New Zealand -

Singapore -
ROUTING code (Singapore only)
Account Type (please tick): Cheque Savings
Note: Payment to credit cards unavailable
Account Name (e.g. Mr John Citizen):
Electronic Commision Statement

(Please complete this section
to receive commission
summaries via email)
If you do not have an email address,
Please ADD the below email
address to my account OR Please replace the current email address
on file with the below email address
leave blank and statements will be posted.
Email Address:
We recommend you contact your Bank, Building Society or Credit Union to check your Bank/branch and account number before
forwarding the details to us. Incorrect forms cannot be processed and will be returned to you.
Note: Direct credit can only be arranged for AUS, NZ or SNG Banks, Building Societies or Credit Unions. Returned cheques / statements will be held pending receipt of updated information.
MANNATECH ACCOUNT HOLDER TO COMPLETE AND SIGN BELOW:

I / we (insert account name) _____________________________________________________ hereby authorise the electronic distribution
of my / our Commission cheque and / or Commission statement as indicated above. I / we understand and accept that I / we are
responsible for advising Mannatech of any changes to these details in writing, and that failure to do so will result in the rejection of my
Commission payment and / or Commission statement. I / we understand and accept that such rejected payments will be held pending
receipt of updated information.
__________________________ __________________________ ___ /___ /___

signature/s of account holder/s Date
LODGEMENT INSTRUCTIONS
If you have more than one Associate position, please return a form for each position.
These details will be used for the payment of commission cheques only and do not supersede any other Direct Debit instructions
previously lodged with Mannatech. PAGE 2 OF 2 MOD # S.1801516.1009

EFT App Form

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SGP - EFT

Commissions paid via Electronic Funds Transfer

• One form is required for each Associate position you hold;

ALL PRICES IN australian DOLLARS

Request for Electronic Distribution of Commission payment / Commission statement.

Associate Number Associate NAME:

PLEASE CREDIT FUTURE PAYMENTS TO THE FOLLOWING ACCOUNT

Bank Name: (eg. CBA, ANZ, NAB, ASB, DBS etc)

Account Name (e.g. Mr John Citizen):

Electronic Commision Statement

MANNATECH ACCOUNT HOLDER TO COMPLETE AND SIGN BELOW:

__ _ /_ /_

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