Common Contracts

2 similar Direct Debit Service Agreement contracts

Direct Debit Service Agreement
Direct Debit Service Agreement • 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
Direct Debit Service Agreement • 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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