You are about to create a Direct Debit Request for Professional Collection Services.

Customer Details

Please enter your details, including the reference number given to you

Debit Arrangement

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

Once Off Debit

Regular Debits

One Time Setup Fee


Bank Account


Optional SMS Reminder






Failed Payment Fee


Payment Method Bank Account Details

Please choose a method of payment

Please enter your bank account details

Payments will appear on your statement as PROFESSIONALCOLL

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.

Service Agreement

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