New pre-approval for Ku-ring-gai Meals on Wheels Service

Business Information

Ku-ring-gai Meals on Wheels Service
ABN: 39071968084
7 Gilroy Road
Turramurra , NSW , 2074
Australia
alex.kane@villagechef.com.au
1300361287

Pre-Approval agreement for Ku-ring-gai Meals on Wheels Service to be given authority to debit - new customers only

By completing this form, you agree for Ku-ring-gai Meals on Wheels Service to debit using your chosen method of payment. Upon completion, you will be sent a confirmation by email together with instructions on how to cancel this pre-approval if required. Future payments will be debited automatically and payment frequency and amounts are at the discretion of Ku-ring-gai Meals on Wheels Service.

Please note this form is for NEW Ku-ring-gai Meals on Wheels Service customers only, if you are an existing or returning customer of Ku-ring-gai Meals on Wheels Service please get in touch with us and ask for a different link.

How would you like to pay?

Credit / Debit Card ( No processing fee )

Bank Account ( No processing fee )

Credit Card Details

All fields are required unless marked as optional.

Company Name (Optional)

First Name

Last Name

Address Line 1

Address Line 2 (Optional)

City

State

Postcode

Email Address

Card number (no dashes or spaces)

Security Code

Exp. Month

Exp. Year

Name (as it appears on your credit card)

Bank Account Details

All fields are required unless marked as optional.

Company Name (Optional)

First Name

Last Name

Address Line 1

Address Line 2 (Optional)

City

State

Postcode

Email Address

BSB Number

Account Number

Bank Account Name

**By entering this agreement, you approve Ku-ring-gai Meals on Wheels Service to debit the nominated bank account above.

By submitting you acknowledge that you have read the Direct Debit Request Service Agreement by clicking here. A copy of the DDRSA and your completed DDR will be emailed to you for your records.