You are about to create a Direct Debit Request for Valley District Cricket Club Inc
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Please enter your regular debit arrangement
One Time Setup Fee
$0.00
Bank Account
Optional SMS Reminder
Visa/Mastercard
0.00%
Amex/Diners
$14.80
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Payments will appear on your statement as VALLEYDISTRICTCR
I / We authorise Global Payments Australia 1 Pty Ltd ACN 601 396 543 (User ID No 342190, 342191, 428198) to debit my/our account at the Financial Institution identified above through the Bulk Electronic Clearing System (BECS) in accordance with this Direct Debit Request.
Payments will appear on your statement as EZI*VALLEYDISTRICT
By agreeing to this form, I / We authorise Ezidebit, acting on behalf of the Business, to debit payments from my specified Credit Card above, and I / we acknowledge that EZI*VALLEYDISTRICT will appear as the merchant on my credit card statement. Furthermore, I / we agree to reimburse and indemnify Ezidebit for any successful claims made by the Card Holder through their financial institution against Ezidebit.
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