iDebit

Business: Selby Community House Inc - ABN/ACN: 235 534 003 45

Address(Required)

Debit Arrangement / Payment Details

I authorise and request NumeroPro Pty Ltd AFT The Kidsoft Unit Trust (Direct Debit User ID: 424700) to debit payments from my nominated account through the Bulk Electronic Cleaning System (BECS), as specified below, at intervals and amounts as directed by Selby Community House Inc in accordance with the Terms and Conditions of this agreement.
Fixed / Variable(Required)
Payment Frequency
Fee Start Date(Required)

Debit from Bank, Building Society or Credit Union Account

I/We authorise NumeroPro Pty Ltd AFT The Kidsoft Unit Trust ABN 17 349 353 404 to debit my/our account at the Financial Institution identified above through the Bulk Clearing System (BECS) in accordance with the Payment details stated above and as per the NumeroPro Pty Ltd AFT The Kidsoft Unit Trust DDR Service Agreement (ver 3.0) provided - Transaction Fee: $ 0.79

Signing

By signing and/or providing us with a valid instruction in respect to your Direct Debit Request, you have understood and agreed to the terms and conditions governing the debit arrangements between you and NumeroPro Pty Ltd AFT The Kidsoft Unit Trust as set out in this Request and in your Direct Debit Request Service Agreement.
Signature(s) of Nominated Account Holder
Date
Signature(s) of Nominated Account Holder
Date