Authority to Deduct
Please charge my Visa/MasterCard with the outstanding balance (or a maximum deduction
of $...........) for my child/ren’s child care account each week until further notice.
Child care fees are charged weekly in arrears.
I understand that this amount will be processed each Monday, if Monday is a Public Holiday
then the deduction will be processed on the next working day.
Credit card type:  MasterCard  Visa
Credit card number:
Expiry Date:
CSV: (3 digits on back of card)
Cardholder Name: (as appears on card)
Cardholders Signature: X
Date:
/
/
Daytime Phone Number:
Address:
Postcode:
Should your credit card details change at any time (e.g. card number, expiry date) then we
will be unable to process your payment.
You will need to complete a new direct debit authority form or provide the new credit card
details over the phone.