St Josephs Primary School Direct Debit Request

St Josephs Primary School Direct Debit Request
Please use this form to set up a new direct debit or change your existing bank account details.
Fee Payer Name*

First NameLast Name
Name of Oldest Child*

First NameLast Name
Fee Payer Email address*
example@example.com
I request and authorise St Josephs School - Debit User ID No 366164 to arrange, through its own financial institution, for any amount St Josephs School may debit or charge you to be debited through the Bulk Electronic Clearing System from an account held at the financial institution identified below and paid to the Debit User, subject to the terms and conditions of the Direct Debit Request Service Agreement.
Please select your direct debit start date from the schedule below and place in here
The payment schedule I request is:*

Weekly (each Thursday)Fortnight A (every second Thursday)Fortnight B (every opposite Thursday)Monthly (15th of each month)Quarterly (15th February, 15th May, 15th August, 15th November)
By signing this Direct Debit Request you acknowledge having read and understood the terms and conditions governing the debit arrangements between you and St Josephs School as set out in this Reqeust and in your Direct Debit Request Service Agreement.
Signature*

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