FORMS FORMS AND DOCUMENTS Strata Pay Direct Debit Request Web Site Surname or Company Name * Given names or ABN * Address * Suburb * State * Postcode * Contact Name * Phone Number * Email * I/We request that moneys due in terms of the payment arrangements covered by this document be drawn by StrataPay Pty Ltd (User ID 056118) under the Direct Debiting System from my/our account detailed below. By signing this Direct Debit Request you acknowledge having read and understood the terms and conditions governing the debit arrangements between you and StrataPay Pty Ltd as set out in this Request and in your Direct Debit Request Service Agreement. Request New Request Amendment Request StrataPay Reference Number * Proceeds to be dispersed to the following Body Corporate RECURRING DEBITS OPTION 1 Debit may be made upon my Telephone or Internet Authorisation together with any service charges which may apply. (To use this service phone 1300 552 311 or visit http://www.stratapay.com.au). OPTION 2 Debit Amount $ Debit Date Payment Type * Weekly Fortnightly Monthly Quarterly Half Yearly OPTION 3 Debits may be made up to 5 business days prior to the due date for any amount outstanding on the account attached to the above StrataPay Reference Number together with any service charges that may apply subject to the availability of this data. PLEASE SELECT EITHER OPTION 1 OR 2 BELOW OPTION 1 - DIRECT DEBIT FROM BANK, BUILDING SOCIETY OR CREDIT UNION ACCOUNT Financial institution name Address Suburb State Postcode Name of Account BSB Number Account Number OPTION 2 – PLEASE DEBIT MY CREDIT CARD INDICATED BELOW Card Type Visa MasterCard Amex Diners Name of Cardholder Card Number Expiry Date CVC
