Giving - Giveway

Campaign Details

Organisation

Campaign

Your Reference #*

prn_required==1

Payer Details

Payer Type *

Organisation name *

donor_type==company

Enter the details of your organisation contact.

donor_type==company

Title *

First name *

Surname *

Address Line 1 *

Address Line 2

Suburb *

State *

Postcode *

Country *

Phone Number *

Email Address *

Payment Details

This authority is for a payment to your nominated Campaign through GiveWay by Direct Debit Request (DDR) from an eligible financial institution account.

GiveWay is a service of Baptist Financial Services Australia Limited (BFS)

ABN 56 002 861 789 | AFSL 311 062

I authorise Baptist Financial Services Australia Limited (BFS) User ID 148018 to debit the account identified below through the Bulk Electronic Clearing System (BECS) in accordance to the Payment Details below and as per the Service Agreement provided. *

Amount ($) *

Frequency *

Commencement date *

Invalid information entered

End *

frequency==weekly || frequency==fortnightly || frequency==monthly || frequency==end_month || frequency==bimonth || frequency==quarterly || frequency==half_yearly || frequency==annually

Number of payments *

end==num_payments

Final payment date *

Invalid information entered

end==end_date

Bank Name *

Bank BSB *

Account Number *

Account Name *

Acknowledgement *

I confirm that I am an authorised signatory to the account to be debited and that this Authorisation is to remain in force in accordance with the details on this page and the GDDR Service Agreement which I acknowledge having read, understood and accepted.

* mandatory fields