DOB Sample Clauses

DOB. Do you have a Valid Healthcare Card? Yes / No Please complete the following Name on the card Expiry date CRN Number: _ _ _ _ _ _ _ _ _ _ Children listed on the card 1. DOB Payment Options Please select your payment option & complete forms following if necessary [ ] Internet Transfer [ ] BPAY [ ] Direct Debit [ ] Credit card Internet Transfer Online Banking St Marys Primary School BSB 083-347 Account Number 676054930 When choosing this option please clearly state your eldest child name and surname when processing your payment BPAY Xxxxxx Code: 201392 REF: Refer to you tax invoice/statement Direct Debit Name(s) or Company Name Mobile Email Please deduct money from my/our Financial Institution account: This debit will be made through the Bulk Electronic Clearing System (BECS) from your account held at the financial institution you have nominated below and will be subject to the terms and conditions of the Direct Debit Request Service Agreement. Name of Bank Account Name and Branch of Financial Institution where account is held BSB Number | | | | - | | | | Account Number | | | | | | | | | | Please debit $ from the above account each Quarterly Fortnightly Monthly Commencing on / / Signature Signature Credit Card Debit Please note: All written evidence of credit card details will be destroyed as per the Payment Card Industry Data Security Standards (PCI DSS). Please charge my credit card – Visa / MasterCard Number / / / Expiry Date / Cardholder Name Cardholder Signature Please debit $ from the above credit card each Quarterly Fortnightly Monthly Commencing on / /_ Direct Debit Request Authority I/We request and authorise St Mary’s School, Mount Xxxxxx, User ID 424099, to arrange, through its own financial institution, to debit funds from my/our nominated account at the financial institution shown below according to the details specified. Our commitment to you: This document outlines our service commitment to you, in respect of the Direct Debit Request (DDR) arrangements made between St Mary’s Primary School ABN 84574215024 user ID 424099 and you. Direct Debit arrangements pertain to requests to deduct money from your financial institution account. The agreement is designed to explain what your obligations are when undertaking a Direct Debit arrangement with us. It also details what our obligations are to you as your Direct Debit Provider. We recommend you keep this agreement in a safe place for future reference. It forms part of the terms and conditions of your ...
Sample 1
AutoNDA by SimpleDocs

Related to DOB

  • Notices Any notice, request or other document required or permitted to be given or delivered to the Holder by the Company shall be delivered in accordance with the notice provisions of the Purchase Agreement.

  • Miscellaneous The Vendor acknowledges and agrees that continued participation in TIPS is subject to TIPS sole discretion and that any Vendor may be removed from the participation in the Program at any time with or without cause. Nothing in the Agreement or in any other communication between TIPS and the Vendor may be construed as a guarantee that TIPS or TIPS Members will submit any orders at any time. TIPS reserves the right to request additional proposals for items or services already on Agreement at any time.

  • Definitions For purposes of this Agreement:

  • Severability Any provision of this Agreement that is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction.

  • IN WITNESS WHEREOF the parties hereto have executed this Agreement as of the day and year first above written.

  • WHEREAS the Company desires the Warrant Agent to act on behalf of the Company, and the Warrant Agent is willing to so act, in connection with the issuance, registration, transfer, exchange, redemption and exercise of the Warrants; and

  • Entire Agreement This Agreement constitutes the entire agreement between the parties hereto with respect to the subject matter contained in this Agreement and supersedes all prior agreements, understandings and negotiations between the parties.

  • NOW, THEREFORE the parties hereto agree as follows:

  • Termination This Agreement may be terminated at any time prior to the Closing:

Time is Money Join Law Insider Premium to draft better contracts faster.