Request and Authority to debit the account named below to pay
ADAMS ALEXANDER PTY LTD
Request and authorise Adams Alexander Pty Ltd, Debit User ID 376359, to arrange, through its own finanical institution, a debt to your nominated account any amount Adams Alexander Pty Ltd, has deemed payable by you.
This debit or charge 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.
Acknowledgment
By signing and/or providing us with a valid instruction in respect to your Direct Debit Request, you have understood and agreed to the terms and conditions governing the debit arrangements between you and Adams Alexander Pty Ltd as set out in this request and in your Direct Debit Request Service Agreement.