Page 1 of 2004-744

School Banking re-order form – 2013Instructions for completion:1. Please do not submit more than 1 order per day.2. All parts of Section 1 are mandatory.3. Once completed, click the ‘SUBMIT’ button at the end of the form. The form will attach as a PDF to an email if you use a desktop

application such as Microsoft Outlook. Simply click send. 4. If you use an internet-based email account such as hotmail or gmail simply save the form to your computer and attach it to a new

email message and send it to schoolbankingstock@cba.com.au.5. You will receive an email confirming your order has been received.

Please use this form to order additional materials to run the School Banking program at your school and to order reward items for students who have collected 10 silver Dollarmites tokens.Your order will be mailed the next business day via Australia Post.For enquiries, please contact the School Banking Helpdesk on 1800 674 496, Monday to Friday, 9am to 4pm (Sydney time).

Section 1 – School details* (orders cannot be fulfilled if this section is not fully completed)

School Banking Co-ordinator Name*

Co-ordinator phone number*

School Name*

School ID* SCH

School Address* State Postcode

Date*

Section 2 – Orders for program materials (please indicate the number of packs you wish to order)

ItemQty in

each packNumber of packs

Parent Pack (program information) 20

Banking day poster (Large A1) 1

Banking day poster (Small A3) 1

Bronze certificate 10

Silver certificate 10

Gold certificate 10

Classroom certificate 5

Outstanding Achievement certificate 10

Dollarmites silver tokens 100

Dollarmites gold tokens 10

Dollarmites deposit book 10

Dollarmites deposit wallet 10

A3 grey canvas satchel 10

Flyer to encourage students to start banking again 50

Plastic coin bags 100

ItemQty in

each packNumber of packs

Quickcash Bags 20

Rewards cards 50

School Banking Co-ordinator Name Badge 1

School Banking self-inking date stamp 1

School Banking self-inking stamp (Small) 1

School Banking Handbook 1

Sheet of stickers for wall chart 5

Wall chart 5

Web-based System user guide 1

Web-based System quick reference guide 1

Change Docket 100

Orientation flyer 25

Orientation flyer (Account opening day) 25

Graduation Flyer 20

RESET

Child’s first name Student IDMoney box

US

B

(201

2 re

war

d)

Knu

ckle

s ga

me

Hea

d

pho

nes

Wal

let

(201

2 re

war

d)

Spen [1]

Pat [3]

Cred [4]

Pru [5]

Section 3 – Orders for reward items

Instructions:• Please tick one item per child only. • Students can only redeem one of each reward item per school year – this includes one of the Dollarmites Money boxes.• Refer to the reward item availability dates displayed on the redemption card. • In order to recognise individual savings behaviour students cannot pool tokens together.• All rewards items only available during the availability period.

– Only reward items listed in the form below are available for order.

Commonwealth Bank of AustraliaABN 48 123 123 124.

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School Name

School ID SCH

Section 4 – Additional reward item orders

Thank you for supporting the School Banking program.

SUBMIT

Child’s first name Student IDMoney box

US

B

(201

2 re

war

d)

Knu

ckle

s ga

me

Hea

d

pho

nes

Wal

let

(201

2 re

war

d)

Spen [1]

Pat [3]

Cred [4]

Pru [5]