You are about to create a Direct Debit Request for EarlyWorks Education Pty Ltd

Customer Details

Please enter your details

Debit Arrangement

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 EarlyWorks Education Pty Ltd as per the Terms and Conditions of the EarlyWorks Education Pty Ltd agreement and subsequent agreements.

One Time Setup Fee

$2.20

Bank Account

$0.99

Optional SMS Reminder

$0.28

Visa/Mastercard

2.2% (min $0.99)

Amex/Diners

4.4% (min $0.99)

Failed Payment Fee

$11.90

Payment Method

Please choose a method of payment

Payments will appear on your statement as EarlyWorks

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 1.9) provided.

Service Agreement

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