You are about to create a Direct Debit Request for Advantage Music Academy

Customer Details

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Debit Arrangement

Please enter your one off payment details

Once Off Debit

One Time Setup Fee

$0.00

Bank Account

$0.00

Optional SMS Reminder

$0.00

Visa/Mastercard

0.00%

Amex

0.00%

Failed Payment Fee

$9.90

Payment Method Credit Card Details

Please choose a method of payment. To request a standard paper Direct Debit Authority form to sign and return, please contact the Business

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Payments will appear on your statement as EZI*Advantage Musi

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*Advantage Musi 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.

Service Agreement

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

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