Direct Debit Service AgreementSeptember 18th, 2023
FiledSeptember 18th, 2023Request 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.
Direct Debit Service AgreementFebruary 17th, 2021
FiledFebruary 17th, 2021Request 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.