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Thursday, 09 April 2020 15:05 Parish Planned Giving Form font size decrease font size increase font size Print By completing this Direct Debit Request you acknowledge having read and understood the Terms and conditions governing the debit arrangements between you and the Diocesan Development Fund as set out in the Request and in your Direct Debit Request Service Agreement. Direct Debit Planned Giving Enter Church Name and Suburb(*) Invalid Input I/we request and authorise Diocesan Development Fund, Debit User Identification number 268894 to arrange, through its own financial institution, for any amount Diocesan Development Fund may debit or charge you to be debited through the Bulk Electronic Clearing System from an account held at the financial institution identified below and Paid to the Debit User, subject to the terms and conditions of the Direct Debit Request Service Agreement . My Details Surname or Company Name(*) Invalid Input Given Names(*) Invalid Input Email(*) Invalid Input Address(*) Invalid Input Invalid Input Suburb(*) Invalid Input State(*) Invalid Input Postcode(*) Invalid Input Payment Details Full Account Name Invalid Input BSB Invalid Input Account Number Invalid Input Payment Frequency(*) WeeklyFortnightlyMonthly Invalid Input Donation Amount(*) Invalid Input Payment Authorisation I confirm(*) I have read the Service Agreement Invalid Input Phone(*) Invalid Input Please enter your preferred phone number that can be used during business hours should we need to contact you for any confirmation of details. Before you press submit, please click and read the Service Agreement. Your submission of this form indicates that you (and any joint account holders, or the director and secretary if the account is held by a company, or if signing on behalf of an entity) have the authority to authorise the direct debit, have read and accept the terms of the Service Agreement and can confirm that the details on this form have been checked and are correct. (*) Invalid Input Submit More in this category: « Contact Details Parish Planned Giving: Thank you » back to top