Please download and complete the Direct Debit form below and upload at the bottom of this page.
Direct Debit Form
File Size:
302 kb
File Type:
pdf
Download File
Transfer Service
*
Indicates required field
Congregation Name
*
Contact Name
*
First
Last
Contact Email
*
Contact Number
*
Foreign Language Groups/Congregations
*
If you would like to use the foreign language service, please specify which languages you will be using.
Would you like to keep your current phone number? (one off $20 porting charge)
*
Yes
No - Assign us a new number
Account Number of current provider
*
Additional Notes
*
Please download the Direct Debit form from the top of this page. Once complete, please upload below.
Submit
