You are about to create a Direct Debit Request for Tim Bray Theatre Company

Customer Details

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Debit Arrangement – Instructions to Accept Direct Debits

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 Tim Bray Theatre Company as per the Terms and Conditions of the Tim Bray Theatre Company agreement and subsequent agreements.

One Time Setup Fee


Bank Account


Optional SMS Reminder



1.2% (min $0.50)



Failed Payment Fee


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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
Telephone: 0800 394 332
Fax: (4) 473 6511