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Under this direct debit payment request. I/We request and authorise AGDATA Australia  to arrange for any amounts payable by Me/Us to AGDATA Australia to be debited to My/Our account at financial institution identified below through the Bulk Electronic Clearing System. (BECS) in accordance with the terms described in the Direct Debit Customer Service Agreement.
Please read the Direct Debit Customer Service Agreement before continuing.I/We confirm that I/We have read, understood and agreed to the terms and conditions set out in the Direct Debit Customer Service Agreement.By clicking on the Submit Request Button below, I/We request and authorise AGDATA Australia to debit all amounts payable by Me/Us to AGDATA Australia from the above mentioned bank account in accordance with the Direct Debit Customer Service Agreement.I/We authorise My/Our financial institution to release information to AGDATA Australia to verify the above mentioned details. If this is joint bank account, all the account holders agree to the declaration.Your account will not be registered unless you accept the terms and conditions of the Direct Debit Customer Service Agreement.This registration process will not proceed if the 'I accept' checkbox is unchecked.
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