Register Your Payment Details Order IDPlanTitleMrMrsMsMstrMissDrMxName* First Last Mobile*Phone*Email* Date of Birth* Date Format: DD slash MM slash YYYY *You must be at least 18 years of age to signup.Company*Address* Address Line (including unit number or lot number) Address Line 2 Suburb State NSWVICQLDACTSAWATASNT Post Code Payment Method*Credit CardBank Account Payment surcharge: Visa/Mastercard: 1.21%, Amex/Diners: 3.52% Bank Account: No Fee Direct Debit Request and Service Agreement* I/We agree to the Terms and Conditions of the Direct Debit Request and Service Agreement * Direct Debit or Card Charge Details By signing this document, The Customer authorises OCCOM PTY LTD, Direct Debit User ID 314572 to debit The Customer’s account detailed in the Schedule below on behalf of the Company. Debits may be in any amount and at the time due according to the arrangement between the Customer and the Company concerning charges incurred by the Customer and services provided by The Company. This authority remains in force until you notify the Company that you wish to cancel it. Direct Debit Terms & Conditions 1. We agree to be bound by this agreement when we receive your Direct Debit details complete with the particulars we need to draw an amount under it. 2. We only draw money out of your account in accordance with the terms of your agreement with the Company. 3. On giving you at least 14 days’ notice, we may: a. Change our procedures in this agreement; b. Change the terms of your Direct Debit; c. or Cancel your Direct Debit. 4. When contacting us, you may ask us to cancel your Direct Debit. Please be aware that if direct debit or card charge is required for your service and you ask to cancel or later the terms of your Direct Debit, this may also involve cancellation of your service with us (and may result in costs and charges). 5. You may dispute any amount we draw under Direct Debit by contacting us, detailing your customer reference details and your bank account or credit card number as applicable. You must provide a detailed explanation of the basis for the dispute to assist in a resolution. 6. We deal with any dispute by the following procedure: a. We will investigate the dispute, and where necessary you are expected to provide your cooperation. This cooperation may include contacting your bank, providing account statements, or other means of substantiating a dispute. b. While a dispute is being investigated, you may request that we suspend pending payments until a resolution is reached. Please note that we will keep written record of dispute proceedings to assist in dispute resolution 7. If the day on which you must make any payment to us is not a business day, we will draw on your account under your Direct Debit on the following business day. If your financial institution rejects any of our attempts to draw an amount in accordance with your Direct Debit, we may continue to seek that payment and recoupment of any fees incurred by us as a consequence of that rejection until all amounts due are paid. 8. We will not disclose to any person any information you give us on your Direct Debit, which is not publicly available, unless you dispute any amount we draw under your Direct Debit and we need to disclose any information relating to your Direct Debit or to you or your financial institution to resolve the dispute. 9. To contact us in accordance with the above, please use the contact details available on our website.