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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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Transcription of Direct Debit Authority - SKY

1 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 .

2 I/We acknowledge and accept that the bank accepts this Authority only upon the conditions listed on this of Bank Account Holder:SKY Account NameContact Telephone NumberHomeThis Authority must be returned to SKYSKYTVD irect Debit Authority Simply fill out and return in an envelope to:Freepost 2921 SKY TelevisionPO Box 9059 NewmarketAucklandNew Zealand(not to operate as an assignment or agreement)Name of Bank and BranchAddress (PO Box) Initiator(a)Has agreed to give advance Notice of the netamount of each Direct Debit and the due dateof debiting at least 10 calendar days before(but not more than 2 calendar months) thedate the Direct Debit will be initiated. Thisnotice will be provided either:(i)in writing; or(ii)by electronic mail where the Customer hasprovided prior written consent to theInitiatorThe advance notice will include the followingmessage:-"Unless advice to the contrary is received fromyou by (*date), the amount of $.

3 Will bedirectly debited to your Bank account on(initiating date)."* This date will be at least two days prior to the duedate to allow for amendment of Direct debits.(b)May, upon the relationship which gave rise tothis Authority being terminated, give notice tothe Bank that no further Direct Debits are to beinitiated under the Authority . Upon receipt ofsuch notice the Bank may terminate thisAuthority as to future payments by notice inwriting to Customer may:-(a)At any time, terminate this Authority as tofuture payments by giving written notice oftermination to the Bank and to the Initiator.(b)Stop payment of any Direct Debit to beinitiated under this Authority by the Initiator bygiving written notice to the Bank prior to thedirect Debit being paid by the Customer acknowledges that:-(a)This Authority will remain in full force andeffect in respect of all Direct debits made fromme/our account in good faith notwithstandingmy/our death, bankruptcy or other revocationof this Authority until actual notice of suchevent is received by the Bank.

4 (b) In any event this Authority is subject to anyarrangement now or hereafter existingbetween me/us and the Bank in relation tomy/our account.(c) Any dispute as to the correctness or validity ofan amount debited to my/our account shallnot be the concern of the Bank except in so faras the Direct Debit has not been paid inaccordance with this Authority . Any otherdisputes lie between me/us and the Initiator.(d) Where the Bank has used reasonable care andskill in acting in accordance with this Authority ,the Bank accepts no responsibility or liability inrespect of:- the accuracy of information about DirectDebits on Bank statements any variations between notices given by theInitiator and the amounts of Direct Debits(e) The Bank is not responsible for, or under anyliability in respect of the Initiator's failure togive written advance notice correctly nor forthe non-receipt or late receipt of notice byme/us for any reason whatsoever.

5 In any suchsituation the dispute lies between me/us andthe Bank may:-(a)In its absolute discretion conclusivelydetermine the order of priority of payment byit of any monies pursuant to this or any otherauthority, cheque or draft properly executedby me/us and given to or drawn on the Bank.(b) At any time terminate this Authority as tofuture payments by notice in writing to me/us.(c) Charge its current fees for this service in forcefrom of this Authority


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