Bank Details

    Please complete your bank details below so as we can pay you on time all the time 🙂
    Authorisation Agreement for Automatic Deposits
    I (we) hereby authorise PARK LANE REBELS PTY LTD, hereinafter called the company, to initiate credit entries to one of the below Cheque or Savings account:



    I also authorise PARK LANE REBELS PTY LTD to post my weekly and monthly commission statements via the Park Lane back office each week.


    If you need to Update Your Existing Bank Details please do so by emailing: we will require
    - your current name and Park Lane ID number
    - your new bank account name
    - your new bank account number
    - your new bank account BSB



    Post code:

    Account Name:


    Account Number:

    Rep ID #::

    This authorisation is to remain in full force and effect until the company has received written notification from me (or either of us) of its termination in such time and in such manner as to afford company and depository a reasonable opportunity to act on it.

    ABN If applicable(optional):

    I accept the terms and conditions.