DD Authority | Link Solutions Limited

To apply for a Direct Debit online just complete and submit the form below. Please ensure you complete all mandatory fields highlighted with an *.

Full terms and conditions are available here.

Your account will be debited as per the schedule we sent to you along with the link to this form.

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Please communicate with me via post

Name*

Street Address*

Suburb

Town/City*

Telephone Number*

Email Address*

Ongoing monthly subscription amount (incl GST)*

First payment amount (incl GST)*

Invoice cycle*

Direct Debit first payment date*

Are you the person authorised to operate the bank account you nominate individually, and not jointly?*

Name of your bank*

Full account number*

Full name on the account*

I authorise you, until further notice in writing, to debit my account with all amounts which Link Solutions Limited (hereinafter referred to as the "initiator"), the registered initiator of Authorisation Code 1220331, may initiate by Direct Debit.*

I acknowledge and accept that the Bank accepts this Instruction only upon the conditions found in the Terms and Conditions page.*

Address

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Terms and Conditions

Physical Address

144 Riverbank Road
Otaki 5512
New Zealand

Phone Number

NZ: 0800 159 672
AU: 1800 613 188

Contact Email

contact@linkhq.com

Physical Address

Phone Number

Contact Email

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