RSVP 1 — The College Youth Games

Direct Debit Form

Name

First Name

Last Name

Phone Number

Debit Frequency

Payment Method

Start Date

MM

DD

YYYY

Name of Bank Account*

Bank Account Number

Payer Reference

EziDebit Fees - Charges

Administration Fee - Online: $5.50
Direct Debit Bank Account: $1.20
Direct Debit MasterCard: 2.50% - Minimum 0.90
Direct Debit Visa: 2.50% - Minimum 0.90
Failed Payment Fee: $11.50