Request and Authority to Debit
(to be retained by the service)
Contact Details: Name: * Address
* Phone * Email: *
Direct Debit Payment Details:
I request and authorise Cloud Payments ACN 154 014 785, APCA User ID Number 450969 to arrange,
through its own financial institution, a debit to the nominated account below any amount Rose Park Community Childcare, has deemed payable.
Bank: * BSB: * Account Number: * Account Name: * Agreement and Authorisation:
By signing this Direct Debit Request, you have understood and agreed to the terms and conditions
governing the debit arrangements set out in this Request and in your Direct Debit Request Service
Full Name: * Date: *
Date Format: DD slash MM slash YYYY
Rose Park Community Childcare
22 Watson Avenue ROSE PARK SA 5067
8332 1791 or null
email@example.com Direct Debit Request Service Agreement
(to be retained by the parent/guardian)
This is your Direct Debit Service Agreement with Cloud Payments ACN 154 014 785, APCA User ID
Number 450969. Cloud Payments have been contracted by Adelaide Eastern Community Childcare
Centre Inc to collect the Instalments due under this Agreement. It explains 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.
Please keep this agreement for future reference. It forms part of the terms and conditions of your Direct
Debit Request (DDR) and should be read in conjunction with your DDR authorisation. Definitions: Account - means the account held at your financial institution from which we are authorised to arrange
for funds to be debited.
Agreement - means this Direct Debit Request Service Agreement between you and us.
Banking Day - means a day other than a Saturday or a Sunday or a public holiday listed throughout Australia.
Debit Day - means the day that payment by you to us is due.
Debit Payment - means a particular transaction where a debit is made.
Direct Debit Request -means the Direct Debit Request between us and you.
Us or We - means Rose Park Community Childcare, (the Debit User) you have
authorised by requesting a Direct Debit Request.
You - means the customer who has signed or authorised by other means the Direct Debit Request.
Your Financial Institution -means the financial institution nominated by you on the Direct Debit Request at which the account is maintained. Debiting your account: 1. By signing a Direct Debit Request or by providing us with a valid instruction, you have authorised us to arrange for funds to be debited from your account. You should refer to the Direct Debit Request and this agreement for the terms of the arrangement between us and you. 2. We will only arrange for funds to be debited from your account as authorised in the Direct Debit
We will only arrange for funds to be debited from your account if we have sent to the address nominated by you in the Direct Debit Request, a billing advice which specifies the amount payable by you to us and when it is due. 3. If the debit day falls on a day that is not a banking day, we may direct your financial institution to debit your account on the following banking day. If you are unsure about which day your account has
or will be debited you should ask your financial institution. Amendments by us:
We may vary any details of this agreement or a Direct Debit Request at any time by giving you at least fourteen (14) days written notice.
Amendments by you:
You may change, stop or defer a debit payment, or terminate this agreement by providing us with at least 14 days notification by emailing firstname.lastname@example.org or arranging it through your own financial institution, which is required to act promptly on your instructions.
Your obligations: 1. It is your responsibility to ensure that there are sufficient clear funds available in your account to allow a debit payment to be made in accordance with the Direct Debit Request. 2. If there are insufficient clear funds in your account to meet a debit payment: a. you may be charged a fee and/or interest by your financial institution;
b. you may also incur fees or charges imposed or incurred by us; and
c. you must arrange for the debit payment to be made by another method or arrange for sufficient clear funds to be in your account by an agreed time so that we can process the debit payment. 3. You should check your account statement to verify that the amounts debited from your account are correct. Dispute: 1. If you believe that there has been an error in debiting your account, you should notify us directly on 8332 1791, or email email@example.com as soon as possible so that we can resolve your query more quickly. Alternatively you can take it up directly with your financial institution. 2. If we conclude as a result of our investigations that your account has been incorrectly debited we will respond to your query by arranging for your financial institution to adjust your account (including interest and charges) accordingly. We will also notify you in writing of the amount by which your
account has been adjusted. 3. If we conclude as a result of our investigations that your account has not been incorrectly debited we
will respond to your query by providing you with reasons and any evidence for this finding in writing. Accounts: You should check:
a. with your financial institution whether direct debiting is available from your account as direct debiting is not available on all accounts offered by financial institutions.
b. your account details which you have provided to us are correct by checking them against a recent
account statement; and
c. with your financial institution before completing the Direct Debit Request if you have any queries about how to complete the Direct Debit Request. Confidentiality: 1. We will keep any information (including your account details) in your Direct Debit Request confidential. We will make reasonable efforts to keep any such information that we have about you secure and to ensure that any of our employees or agents who have access to information about you do not make any unauthorised use, modification, reproduction or disclosure of that information.
2. We will only disclose information that we have about you:
a. to the extent specifically required by law; or
b. for the purposes of this agreement (including disclosing information in connection with any query
or claim). Notice:
1. If you wish to notify us in writing about anything relating to this agreement, please email firstname.lastname@example.org.
2. We will notify you by sending a notice in the ordinary post to the address you have given us in the
Direct Debit Request.
3. Any notice will be deemed to have been received on the third banking day after posting.