Transcription of Direct Debit Authority - SKY
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Direct Debit Authority - SKY
Bank Account From Which Payment To Be Made Please attach a deposit slip with your account number Authorised Signature(s):To: The Manager (please print full Postal Address clearly)Bank Number/ Branch NumberAccount NumberSuffix*Any further information you would like to appear on your bank statement (optional).Information to appear on My/Our StatementPayer ParticularsYour Banking DetailsSKY Account NumberPlease Sign Here Bank Account Holder(s) to complete*Payer CodePayer ReferenceApprovedFor Bank Use OnlyDate Received:Recorded By:Checked By:BANK STAMPO riginal-Retain at Branch03 / 030255 Date: / / Authorisation CodeImportantAuthority To Accept Direct DebitsI/We authorise you until further notice in writing to Debit my/our account with you all amounts which SKY NETWORK TELEVISION LTD, PO BOX 9059, NEWMARKET, AUCKLAND (hereinafter referred to as the Initiator) the registered Initiator of the above Authorisation Code may initiateby Direct Debit .
Bank Account From Which Payment To Be Made Please attach a deposit slip with your account number Authorised Signature(s): To: The Manager (please print full Postal Address clearly)
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