DIRECT DEBIT REQUEST AUTHORITY Sample Clauses

DIRECT DEBIT REQUEST AUTHORITY. I/We request, epay Australia Pty Limited (User ID 443470) to arrange for funds to be debited from my/our nominated account at the financial institution shown below according to schedule 2 of the Retailer Agreement and the provisions of the Retailer Agreement. Please refer to the Customer DDR Service Agreement below. RETAILER’S ADDRESS Street Suburb State Postcode Name of Bank Account Name of Financial Institution Branch Bank Account Name Account Number BSB No. - ACKNOWLEDGEMENT 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 epay as set out in this Request, the Retailer Agreement and in your Customer DDR Service Agreement. Note that this account will also be used to credit any amounts due under the Alternative Payment Services terms and conditions.