STANDING AUTHORITY FOR RECURRENT PERIODIC PAYMENT BY CREDIT CARD (4 weekly only)
Cardholder name: ............................................... ...................... .........................
Address: ...................................................... ...................... .........................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .State: ..................Postcode: ..................
Cardholder number:
Expiry date (MM/YY):
Mastercard Visa Please tick card type
Description of goods/services: Membership Australian Education Union
Regular debit: Four weekly
Date of first debit: The next collection following the return of the authorisation.
I wish to use my MASTERCARD/VISA to pay for the above services supplied to me by the Australian Education Union.
I hereby authorise the merchant to debit my card account with the amount and at the intervals specified above and in the event of any change in the charges for these services to alter the amount from
the appropriate date in accordance with such change.
* Notice of any changes will be provided in the AEU newspaper.
This authority shall stand, in respect of the above specified card and in respect of any card issued to me in renewal or replacement thereof, until I notify the merchant in writing of its cancellation.
Cardholder’s signature ........................................ . . . . . . . . . . . . . . . .Date:
DIRECT DEBIT REQUEST (4 weekly only)
Name of customer(s) giving the DDR. I/We (please print) ....................................................................
authorise the AUSTRALIAN EDUCATION UNION (APCA User ID Number 025632) to arrange for funds to be debited from my/our account at the financial institu-
tion identified below and as prescribed below through the bulk electronic clearing system (BECS).
This authorisation is to remain in force in accordance with the terms described in the Direct Debit Service Agreement (see below)
Signature
.........................................................................Date..........................
Signature .........................................................................Date..........................
DETAILS OF THE ACCOUNT TO BE DEBITED
(Please print and all details must be supplied)
Name of financial institution:
.........................................................................................
Account holders name: .............................................................................................
BSB number: Account number:
DIRECT DEBIT SERVICE AGREEMENT
DEFINITIONS:
THE ‘UNION’ means the Australian Education Union Victorian Branch
MEMBER a financial member of the Australian Education Union Victorian Branch
SPONSOR
FINANCIAL INSTITUTION a financial institution or agency with whom the Union has an agreement to enable participation in the
Direct Debit Scheme
1. PAYMENTS
1.1 The Australian Education Union Victorian Branch (the ‘Union’) shall use the funds collected under this Debit Request Service
Agreement for the sole purpose of paying the members subscription payment.
1.2 All such membership payments shall be collected every four weeks in arrears for the previous four weeks.
1.3 The Union shall provide not less than 14 days notice to members of any proposed variation to these arrangements. Such
notice shall be published in a union publication circulated to all members or by means of an individual notice to each
participating Debit Scheme member.
2. DEFERMENT OF DEBIT ARRANGEMENTS
A participating member may request deferment of or alteration to his/her debit arrangements.
Any such requests must be in writing addressed to the Branch Secretary of the Union.
3. CANCELLATION OF DEBIT ARRANGEMENT
A participating member may cancel his/her debit arrangement by giving notice in writing to the Branch Secretary.
All requests for cancellation must be forwarded to the Union in the first instance.
4. DISPUTED DEBITS
Any participating member who wishes to dispute a debit item related to this Agreement shall direct their queries in the first instance to the
Union.
Any such queries or matters of dispute shall be addressed in writing to the Branch Secretary who shall investigate and adjudicate on the
matter within 14 days of receiving any such correspondence.
5. DIRECT DEBIT ACCOUNTS
Direct debiting through the bulk electronic clearing system is not available on all accounts. If in doubt please refer to your financial insti-
tution before completing the Direct Debit Request. It is the member’s responsibility to check that account details are correct.
6. COLLECTION DAYS
When the due date for collection is not a normal business day (normally a state or national public holiday) the collection shall be made
on the nearest normal business day prior to the regular due date.
If a member is uncertain as to when a debit will be processed to his/her account they should enquire direct to their financial institution.
7. REJECTED DEBITS
It is the responsibility of the member to have sufficient clear funds available in the relevant account by the due date to permit payment of
debit items included under the direct debit request.
If a direct debit is rejected by a member’s financial institution their Union membership fee remains due and payable.
The member shall also be responsible for any fees related to the rejection applied by the financial institution.
8. PRIVACY – Access to Information
The Union shall preserve the privacy of the member’s records and account details whilst noting that these details may have to be divulged
to the sponsor financial institution when requested.
PLEASE CHOOSE ONE METHOD OF PAYMENT ONLY
either credit card above or direct debit below — not both
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