Jade Electricity Direct Debit Update Details Form

Debit Arrangements
Debit Arrangement Statement
I authorise and request the debit user detailed below to debit payments from my nominated account, as specified below, at intervals and amounts as directed by Jade Utilities Management Rights Pty Ltd as per the Terms and Conditions of the Jade Utilities Management Rights Pty Ltd agreement and subsequent agreements.

Fees / Charges

One Time Setup Fee $0.00

Bank Account $0.60

Optional SMS Reminder $0.00

Visa/Mastercard 1.4% (min $0.60)

Amex/Diners 3.8% (min $0.60)

Payer Dishonour Fee $21.90
Payment Method
Please choose a method of payment
Type*
Bank Code / BSB*
First 4 digits CC Number*
The Remaining Digits Of CC Number*
Expiry Date mm/yyyy*
Card Holders Name*
Account Number*
Account Holder Name*
Payments will appear on your statement as JADE UTILITIES

I / We authorise Ezidebit Pty Ltd ACN 096 902 813 (User ID No 165969) to debit my/our account at the Financial Institution identified above through the Bulk Electronic Clearing System (BECS) in accordance with the Debit Arrangement stated above and this Direct Debit Request and as per the Ezidebit DDR Service Agreement (Ver 1.12) provided.
Terms & Conditions
Type a question
I Agree With The Above Terms & Condition

Electricity Direct Debit Account Update Form