I/We here authorise National Health Australia ABN 15 629 626 204 to make direct debit payments to settle my account as per agreement. These payments will be made third party, EziDebit who is an authorised direct debit provider. Ezidebit Pty Ltd ACN 096 902 813 (User ID No 342190, 342191, 428198) to debit my/our account at the Financial Institution identified above through the Bulk Electronic Clearing System (BECS) in accordance with this Direct Debit Request.

I/We acknowledge that Ezidebit Pty Ltd is acting as a Direct Debit Agent for National Health Australia Pty Ltd and that Ezidebit Pty Ltd does not provide any goods or services (other than the direct debit collection services) to me/us for the Business pursuant to the Direct Debit Request and has no express or implied liability in relation to the goods and services provided or to be provided the Business or the terms and conditions of any agreement that I/We have with the Business.

I/We acknowledge that the debit amount will be debited from my/our nominated card or bank account according to the terms and conditions of my/our agreement with the National Health Australia Pty Ltd and the terms and conditions of the Direct Debit Request (and specifically the Debit Arrangement including the Fees/Charges in the Direct Debit Request).

I/We acknowledge that the details of my/our nominated card or bank account should be verified (eg: against a recent card or bank statement) to ensure accuracy of the details provided and I/we will contact my/our financial institution if uncertain of the accuracy of these details.

I/We acknowledge that is my/our responsibility to ensure that there are sufficient available/cleared funds in the nominated account the due date to enable the direct debit to be honoured on the due date for the debit. Direct debits normally occur overnight, however transactions can take up to 5 banking business days depending on the financial institution. Accordingly, I/we acknowledge and agree that sufficient funds will remain in the nominated account until the debit amount has been debited from the account. If there are insufficient funds available, I/we agree that Ezidebit Pty Ltd & National Health Australia will not be responsible for any fees and charges that may be charged either my/our or its financial institution.

I/We acknowledge that there may be a delay in processing the debit if:

1. a payment request is received Ezidebit Pty Ltd & National Health Australia after Ezidebit Pty Ltd & National Health Australia’s usual cut off time, being 3:00pm Qld time, Monday to Friday;

2. a payment request is received Ezidebit Pty Ltd & National Health Australia on a day that is not a banking business day in Sydney, NSW and Melbourne, VIC; or

3. there is a public or bank holiday on the day when the debit transaction is due to be processed or on any of the following days until the debit is processed.

Any payment that falls due on any of the above will be processed on the next business day.

I/We authorise Ezidebit Pty Ltd & National Health Australia to vary the amount of the payments from time to time upon receiving instructions from the Business of a variation provided for within my/our agreement with the Business or as may be agreed me/us and the Business. I/We do not require Ezidebit Pty Ltd & National Health Australia to notify me/us of the variation to the debit amount.

I/We acknowledge that Ezidebit Pty Ltd & National Health Australia is to provide at least 14 days’ notice if it proposes to vary any of the terms and conditions of the Direct Debit Request (including this DDR Service Agreement) including varying the Debit Arrangement.

I/We will contact the Business if I/we wish to alter or defer the Debit Arrangement. I/We acknowledge that any request me/us to stop or cancel the Debit Arrangement will be directed to the Business.

I/We acknowledge that any dispute regarding a debit will be directed to the Business and/or Ezidebit Pty Ltd& National Health Australia. If no resolution is forthcoming, I/we will contact my/our financial institution.

I/We acknowledge that if a debit is returned my/our financial institution as unpaid, a failed payment fee (as referred to in the Debit Arrangement) may be payable me/us to Ezidebit Pty Ltd & National Health Australia. I/We will also be responsible for any fees and charges applied my/our financial institution for each unsuccessful debit attempt together with any collection fees, including but not limited to any solicitor fees and/or collection agent fee as may be incurred Ezidebit Pty Ltd & National Health Australia.

I/We authorise Ezidebit Pty Ltd & National Health Australia to attempt to re-process any unsuccessful payments as advised the Business.

I/We acknowledge that certain fees and charges (including setup, variation, SMS or processing fees) may apply to the Direct Debit Request and may be payable to Ezidebit Pty Ltd & National Health Australia and agree to pay those fees and charges to Ezidebit Pty Ltd & National Health Australia.

“Ezidebit Pty Ltd & National Health Australia” may appear as the merchant for a payment from my/our credit card (including a debit or charge card). I/We acknowledge and agree that Ezidebit Pty Ltd & National Health Australia will not be liable for any disputed transactions resulting from the supply or non supply of goods and/or services and that all disputes will be directed to the Business (as Ezidebit Pty Ltd & National Health Australia is acting only as a Direct Debit Agent for the Business). The Transaction Fee for a debit to a Credit Card calculated as a percentage may be subject to a minimum amount.

I/We appoint Ezidebit Pty Ltd & National Health Australia as my/our agent for the control, management and protection of my/our personal information (relating to the Business and this Direct Debit Request) which is disclosed to Ezidebit Pty Ltd & National Health Australia. I/We irrevocably authorise Ezidebit Pty Ltd & National Health Australia to take all necessary action (which Ezidebit Pty Ltd & National Health Australia deems necessary) to protect and/or correct, if required, my/our personal information, including (but not limited to) correcting account numbers and providing such information to relevant third parties and otherwise disclosing or allowing access to my/our personal information to third parties in accordance with the Ezidebit Pty Ltd & National Health Australia Privacy Policy.

Other than as provided in this Direct Debit Request or the Ezidebit Pty Ltd & National Health Australia Privacy Policy, Ezidebit Pty Ltd & National Health Australia will keep your personal information about your nominated account private and confidential unless this information is required to investigate a claim made relating to an alleged incorrect or wrongful debit, to be referred to a debt collection agency for the purposes of debt collection or as otherwise required or permitted law. The National Health Australia Privacy Policy can be found at https://nationalhealth.com.au/disclaimer-tc/

I/We here irrevocably authorise, direct and instruct any third party who holds/stores my/our personal information (relating to the Business and this Direct Debit Request) to release and provide such information to Ezidebit Pty Ltd & National Health Australia.

I/We authorise:

1. Ezidebit Pty Ltd & National Health Australia to verify with my/our financial institution and/or correct, if necessary, details of my/our account; and

2. My/our financial institution to release information allowing Ezidebit Pty Ltd & National Health Australia to verify my/our account details.

PO Box 5054, Q Super Centre. Mermaid Waters QLD 4226