Authorisation Form definition
Examples of Authorisation Form in a sentence
I/We acknowledge that if specified by the Business, in addition to the agreed periodic debits set out in the DDR Authorisation Form, administration/setup, variation, reversal, dishonour, or processing fees may also apply and be debited under the DDR as instructed by the Business.
I/We acknowledge that it is my/our responsibility to ensure that the details entered on the DDR Authorisation Form are correct and that Debitsuccess is not liable to the extent that any such details are wrong and this causes a required payment to be missed.
I/We authorise Debitsuccess Pty Limited (ACN: ▇▇▇ ▇▇▇ ▇▇▇) APCA User ID 184532 to make periodic debits on behalf of the “Business” as indicated on DDR Authorisation Form (herein referred to as the Business).
In addition, where I/we are paying the required payments by credit card and have entered the details of the credit card on the DDR Authorisation Form, I/we agree that Debitsuccess may continue to debit from the credit card in accordance with the terms of this Agreement to the extent that the credit card has expired, and that it wholly my/our responsibility to provide details of any replacement credit card to Debitsuccess via the Business.
A Credit Card Authorisation Form for payment of the FNQ DAMA DAR endorsement fee (see below for fee schedule).
I/We authorise Debitsuccess Pty Limited (ACN: ▇▇▇ ▇▇▇ ▇▇▇) APCA User ID 518466 to make periodic debits on behalf of the “Business” as indicated on DDR Authorisation Form (herein referred to as the Business).
In addition, where I/we are paying the required payments by credit card and have entered the details of the credit card on the DDR Authorisation Form, I/we agree that Debitsuccess may continue to debit from a credit card in accordance with the terms of this Agreement to the extent that the credit card has expired, and that it wholly my/our responsibility to provide details of a replacement credit card to Debitsuccess via the Business.
In no way detracting from the generality of the aforesaid, the Purchaser undertakes to sign the Association’s Membership Application, Debit Order Authorisation Form, Nomination form, if applicable and Undertaking to the Master Management Association, if applicable, and do whatever else may be required in order for the Purchaser to become a member of the Association.
I/We acknowledge that it is my/our responsibility to ensure that the details entered on the DDR Authorisation Form are correct and that Debitsuccess is not liable to the extent that any such details are wrong, and this causes a required payment to be missed.
The Cardmember’s signature on the Direct Debit Authorisation Form serves as acceptance by the Cardmember of the Programme Merchant’s terms and conditions of sale, the Terms and Conditions herein and the Cardmember Agreement.