Customer Authorization
(If in joint name/s both signatures may be required)
By signing below, I/we request that you debit my/our account for the outstanding balance of our prior month’s invoice/statement and otherwise in accordance with our Agreement. The frequency of the Direct Debit is monthly on the 24th or next working day should this fall on a non-business day.
I/We authorize the following:
1. The Debit User to verify the details of the abovementioned account with my/our Financial Institution.
2. The Financial Institution to release information allowing the Debit User to verify the above-mentioned account details.