Common Contracts

2 similar null contracts

Direct Debit Service Agreement
September 18th, 2023
  • Filed
    September 18th, 2023

Request and authorise St.Luke’s Medical and Hospital Benefits Association (13665) to arrange for any amount St.Luke’s Medical and Hospital Benefits Association may debit or charge you to be debited through the Bulk Electronic Clearing System from the credit card identified below subject to the terms and conditions of the Direct Debit Request Service Agreement.

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Direct Debit Service Agreement
February 17th, 2021
  • Filed
    February 17th, 2021

Request and authorise St.Luke’s Medical and Hospital Benefits Association (13665) to arrange for any amount St.Luke’s Medical and Hospital Benefits Association may debit or charge you to be debited through the Bulk Electronic Clearing System from the credit card identified below subject to the terms and conditions of the Direct Debit Request Service Agreement.

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