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Direct Debit Form

Direct Debit Request

A direct debit form agreement is a contractual arrangement between a customer and a service provider that authorizes the service provider to automatically collect payments from the customer's bank account on specific dates. This agreement allows the service provider to withdraw funds directly from the customer's account, eliminating the need for manual payments or reminders.

By signing a direct debit form agreement, customers benefit from a convenient and hassle-free payment method. It ensures timely payments, eliminates the risk of missed or late payments, and reduces administrative tasks. However, it is crucial for customers to carefully review and understand the terms and conditions of the agreement before signing, as they are authorizing the service provider to withdraw funds from their bank account. It's important to keep track of the debits and ensure sufficient funds are available to avoid any potential issues or fees.

Step 1

Download the PDF and fill up the form


Step 2

Use the form below to email your PDF 

First Name
Last Name
Email Address
Upload the filled up PDF

Step 3

One of our staff will review your form. If there are issues on the form, our staff will contact you via email. 

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