Select preferred language
Please enter your response below

Direct Debit Request - Bank Details

I request and authorize CLONARD COLLEGE 153298 to arrange for any amount CLONARD COLLEGE may debit or charge to be debited through the Bulk Electronic Clearing System from the account identified below subject to the terms and conditions of the Direct Debit Request Service Agreement (and any further instructions provided below).

Debit Amount:

The college will calculate a debit amount based on your nominated debit start date, your nominated debit frequency, and your account balance. Direct debit is ongoing, until written instruction is issued to stop the debit. It is your responsibility to ensure that there are sufficient funds to clear on the nominated date.

Please use this link to review the Direct Debit Request Service Agreement prior to completing the acknowledgement and signature.

Please sign below Show me how