Merivale Group Member Banking Information & Identity Verification Group Member InformationFull Name(Required) First Last Date Of Birth(Required) DD slash MM slash YYYY Residential Address(Required) Street Address Address Line 2 State / Province / Region Postal Code Email Address(Required) Email Address Confirm Email Address Alternate Email Address (If Any) Enter Email Confirm Email Phone Number(Required)Alternate Phone NumberBanking DetailsIf you do not have access to an Australian Bank Account, please contact us on merivale@aderolaw.com.au or call on 02 6189 1022 to arrange an alternate method of payment.BSB(Required)Account Number(Required)Account Name(Required) Identity VerificationProof of Identity Number(Required) Either your Passport Number or Drivers License NumberProof Of Identity(Required)Upload a scanned image of your proof of Identity documentMax. file size: 5 MB.
