I request and authorise BONBEACH FOOTBALL CLUB INC User ID 540253 to arrange a debit to your nominated account to pay for club registration and other miscellaneous costs incurred throughout the season. This debit or charge will be arranged by BONBEACH FOOTBALL CLUB INC’s financial institution and made through the Bulk Electronic Clearing System Framework (BECS) from your nominated account and will be subject to the terms and conditions of the Direct Debit Request Service Agreement.
By signing and/or providing us with a valid instruction in respect to your Direct Debit Request you confirm that:
• you are authorised to operate the nominated account;
• and you have understood and agreed to the terms and conditions set out in this Request and in your Direct Debit Request Service Agreement.