With direct debit, your payments are automatically deducted from your bank account or credit card on the due date - you'll never miss a payment. You'll still receive your bill, but we will deduct your outstanding balance on the due date.
There are two ways you can set up your direct debit:
Which account do you want to debit?
Bank account number
Bank account name
I/We authorise and request Ezidebit Pty Ltd ACN 096 902 813 (User ID 165969, 303909, 301203, 234040, 234072, 428198) to debit from my/our account at the Financial Institute identified above through the Bulk Electronic Clearing System (BECS) in accordance with this Direct Debit Request and the Ezidebit DDR Service Agreement (Ver 1.9).
Credit card type
Choose card typeVisaMastercardAmerican Express
Credit card number
Expiry date
Month010203040506070809101112 Year2019202020212022202320242025
CCV / card security code
Cardholder's name
By submitting this form, I/we authorise Ezidebit, acting on behalf of the Business, to debit payments from my specified credit card above, and I/we acknowledge that Ezidebit will appear as the merchant on my credit card statement.
This authoriation is to remain in force in accordance with the terms and conditions on this Direct Debit Request, the provided Ezidebit DDR Service Agreement (Ver 1.9) and I/we have read and understand the same. I/We acknowledge that our personal information will be collected, used, held and disclosed in accordance with the Ezidebit Privacy Policy.
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