• Service Agreement

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    Service Agreement
    • Site Address 
    • Postal Address (if different to site address)  
    • Business Details  
    • Customer Details  
    • Accounts Details  
    • Service Details  
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    • Service 2  
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    • Service 3  
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    • Accessibility 

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    • Direct Debit Form  
    • authorize and request to arrange for funds to be debited from my/our account at the financial institution identified below and as prescribed below through the Bulk Electronic Clearing System (BECS). This authorization is to remain in force in accordance with the terms described in the Direct Debit Service Agreement (DDRSA)

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    • Customer Authorization                                                  

      (If in joint name/s both signatures may be required)

      By signing below, I/we request that you debit my/our account for the outstanding balance of our prior month’s invoice/statement and otherwise in accordance with our Agreement. The frequency of the Direct Debit is monthly on the 24th or next working day should this fall on a non-business day.

      I/We authorize the following:

       1. The Debit User to verify the details of the abovementioned account with my/our Financial Institution.

       2. The Financial Institution to release information allowing the Debit User to verify the above-mentioned account details.

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    • Terms & Conditions  
    • Terms & Conditions

    • l acknowledge that l am authorised to sign and that l have read and understand the terms and conditions.

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