By agreeing to a direct debit facility, you authorise and request LCollect Pty Ltd (Direct Debit Identification
No. 304262) to debit your nominated account through BECS:
Financial Institution (Bank): ()
You have also agreed to pay in
instalments the first of which will be debited on and
then subsequently on the of each
You understand that LCollect Pty Ltd will debit your account in accordance with the payment arrangement between
you and LCollect Pty Ltd and that both parties will be bound by the terms and conditions set out in the Direct
Debit Request Service Agreement which we will make available to you.
A copy of our Direct Debit Request Service Agreement can be downloaded below:
Direct Debit Request Service Agreement (39 KB)
Are you satisfied to proceed with these payments to be debited from your account?
Yes | No
Please complete the below fields to make payments using Direct Debit. We recommend completing this form at a desktop PC using Internet Explorer, Google Chrome or Mozilla Firefox.