Please complete and submit the following online form, once completed please print and sign the form and return to Orchard Funds Management.

Orchard Funds Management
Attention: Unit Registry
Locked Bag 32001
Collins St East VIC 8003

Fields marked  * are mandatory.

1. Investor Account Number *
2. Investor 1
3. Title Please Select Mr Mrs Miss Ms
4. Given Name
5. Surname
6. Investor 2
7. Title Please Select Mr Mrs Miss Ms
8. Given Name
9. Surname
10. Tax File number, ABN or exemption code
11. Investor 1 *
12. Investor 2 *
13. Company Superanuation Fund or trusts (or Investor 3 if applicable)  
14. Bank Account Details 
15. BSB Number *
16. Account Number *
17. Bank Name *
18. Branch *
19. Names in which your account is held *
20. Investors contact details
21. Postal Address *
22. State * Please Select Victoria South Australia Western Australia Northern Territory Queensland New South Wales Australian Capital Territory Tasmania
23. Post Code *
24. Home Telephone * ()
25. Work Telephone * ()
26. Mobile Telephone *
27. Email Address *
    (For annual reports, distribution and taxation statements)
28. Is email the preferred contact method?