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.
You may change*, stop or defer a debit payment, or terminate this agreement by providing us with at least fourteen (14 days) notification by writing to:
Level 19/15 William St
Melbourne 3000 VIC
by emailing us at firstname.lastname@example.org during business hours;or
arranging it through your own financial institution, which is required to act promptly on your instructions.
*Note: in relation to the above reference to ‘change’, your financial institution may ‘change’ your debit payment only to the extent of advising us of your new account details.
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.
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.
You should check your account statement to verify that the amounts debited from your account are correct
You should check:
If you wish to notify us in writing about anything relating to this agreement, you should write to
Level 19/15 William St
Melbourne 3000 VIC
We will notify you by sending a notice in the ordinary post to the address you have given us in the Direct Debit Request.
Any notice will be deemed to have been received on the third banking day after posting.
Your Surname or company name
Your Given names or ABN/ARBN
request and authorise ASSEMBLY PAYMENTS PLATFORMS PTY LTD TRADING AS ASSEMBLY PAYMENTS & user id 481561 or 342203 to arrange, through its own financial institution, a debit to your nominated account any amount ASSEMBLY PAYMENTS PLATFORMS PTY LTD TRADING AS ASSEMBLY PAYMENTS, has deemed payable by you. You acknowledge that ASSEMBLY PAYMENTS PLATFORMS PTY LTD TRADING AS ASSEMBLY PAYMENTS has different user id’s depending on the financial institution it uses.
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.
Financial institution name
Name/s on account
BSB number (Must be 6 Digits)
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 ASSEMBLY PAYMENTS PLATFORMS PTY LTD TRADING AS ASSEMBLY PAYMENTS as set out in this Request and in your Direct Debit Request Service Agreement.
ASSEMBLY PAYMENTS INC. Authorization Agreement For Automated Clearing House Transactions (ACH Debits)
I (we) hereby authorize: ASSEMBLY PAYMENTS INC., hereinafter called COMPANY, to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries in error to my (our) account. indicated below and the depository named below, hereinafter called DEPOSITORY, to debit and/or credit the same to such account.
This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.
AUTHORIZATION I (We) acknowledge that the origination of ACH transaction to my (our) account must comply with the provision of U.S. Law and the Rules of the National Automated Clearing House Association. I (We) further acknowledge that I (we) have retained a copy of this authorization when I (we) confirmed it. You hereby authorize and request ASSEMBLY PAYMENTS INC. to debit funds from your account at the Financial Institution indicated, and credit the funds according to the above instructions. Funds need to be on deposit at the designated Financial Institution on the evening prior to the effective date of the ACH debit. In the event of an error, you authorise ASSEMBLY PAYMENTS INC. to take any and all action required to correct the error. You must notify ASSEMBLY PAYMENTS INC. in writing if you would like to make any changes or to cancel the authorization. You agree to indemnify and hold ASSEMBLY PAYMENTS INC. harmless from all costs, including attorney’s fees, (to the extent permitted by law), damage or claims related to ASSEMBLY PAYMENTS INC’s action in refusing payment of the item, including claims of any joint account-holder, payee, or endorsee, or in failing to cancel or process an item as a result of incorrect information provided by you. By signing below, you certify that the information you have given on this ACH Debit Authorization Agreement for Direct Payments is complete, true, and submitted for the purpose selected above.