You are about to create a Direct Debit Request for Renegade Fitness Limited

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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


Bank Account


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Failed Payment Fee


Payment Method

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

Payments will appear on your statement as EZI - HEALTH & FIT

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

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DDR Service Agreement(Ver 1.6)

Ezidebit Pty Ltd
NZBN: 9429035266310
Telephone: 0800 394 332
Fax: (4) 473 6511