You are about to create a Direct Debit Request for Tourism Industry Council Tasmania
Please enter your details, including the reference number given to you
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 Tourism Industry Council Tasmania as per the Terms and Conditions of the Tourism Industry Council Tasmania agreement and subsequent agreements.
One Time Setup Fee
$0.00
Bank Account
Optional SMS Reminder
Visa/Mastercard
0.00%
Amex
$14.80
Please choose a method of payment. To request a standard paper Direct Debit Authority form to sign and return, please contact the Business
Please enter your bank account details
Please enter your credit card details
Payments will appear on your statement as TICT
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.
Payments will appear on your statement as EZI*TICT
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*TICT 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.
*This is a preview page only, no payments can be taken on this page.