You are about to create a Direct Debit Request for Himalayan Trust

Customer Details

Please enter your details

Debit Arrangement – Instructions to Accept Direct Debits

You may enter one or both of the once off and regular debit arrangements

Once Off Debit

Regular Debits

One Time Setup Fee

$0.00

Bank Account

$0.00

Optional SMS Reminder

$0.00

Visa/Mastercard

0.00%

Amex/Diners

0.00%

Failed Payment Fee

$14.95

Payment Method

Please choose a method of payment

Payments will appear on your statement as Ezidebit New Zeala

I/We authorize you until further notice to debit my/our account with all amounts which EZIDEBIT (NZ) LIMITED, the registered initiator of Authorization Code 0227418, may initiate by Direct Debit. I/We acknowledge and accept that the bank accepts this authority upon the conditions listed in the terms of this agreement. I confirm that I can operate and have sole authority for the nominated bank account.

Service Agreement

*This is a preview page only, no payments can be taken on this page.

Ezidebit Pty Ltd
|
NZBN: 9429035266310
|
Email: support@ezidebit.co.nz
|
Telephone: 0800 394 332
|
Fax: (4) 473 6511