You are about to create a Direct Debit Request for Kemps Petersons

Customer Details

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

Debit Arrangement

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 Kemps Petersons as per the Terms and Conditions of the Kemps Petersons agreement and subsequent agreements.

One Time Setup Fee


Bank Account


Optional SMS Reminder



1.5% (min $0.88)


3.6% (min $0.88)

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 KEMPSPETERSONSPL

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.