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ABN 83 000 532 696

Credit Card Direct Debit Authority Dear Parents For your convenience, credit card payments for school fees may now be done automatically each quarter or each month. Currently there are over 200 Queenwood families who pay their school fees via our Direct Debit Payment facility. We accept Visa, Mastercard and American Express only. A surcharge of 1% for payments received via Visa, Mastercard or American Express is applicable. You can choose to enrol in our quarterly or monthly direct debit via Credit card arrangement. Quarterly Direct Debit When you enrol to pay your school fees quarterly, your school fees will be automatically debited, each term, from your nominated credit card on the day prior to the rebate date offered on school accounts. Therefore, you will always be given the $50 rebate per student *if this is applicable to you. Each term:  You will be notified of the date your credit card will be used (this is usually 2 weeks prior to your card being debited).  You will receive your account 4 weeks prior to your credit card being debited. Therefore if you have any queries regarding your account they may be settled prior to debiting your payment. Monthly Direct Debit When you enrol to pay your school fees monthly, ten equal debits will occur during the year, on the 3rd of each month commencing from February through to November. Any sundry charges appearing on your account, other than tuition fees, will be debited from your credit card on the first instalment due from the commencement of a new school term. No rebates or discounts are offered with the monthly direct debit option. How to enrol If you wish to enrol, please complete the Direct Debit Authority overleaf and return it back to the Queenwood Business Office. You will be advised by email that we have received your Direct Debit Authority. Enrolling for Direct Debit is not compulsory. We do accept credit card payments by fax, mail or phone and/or cheque payments can be made by mail or by dropping it into the Business Office or the School Office. Should you have any queries, please do not hesitate to contact me on 8968 7790. Yours sincerely, Judith R McGregor Business Manager * NB – a $50 rebate will be allowed for each student for whom payment is received in full by the nominated date. The early payment rebate cannot be claimed on students’ accounts who have been awarded a partial or full scholarship.


ABN 83 000 532 696

Direct Debit Payment Authority Please enrol me for the Automated Payment of my daughters’ school fees. I acknowledge a 1% surcharge will be added to my payment. Please tick monthly or quarterly.

 Monthly

 Quarterly

Credit card details are below: Credit Card Type:

Credit Card No:

Mastercard

Visa

American Express

___ _/ _ ___ / __ __/ ___ _

(please circle one)

Expiry Date:

__/__

Name On Credit Card:…………………………………………………………………………….… Optional Voluntary Payments Please circle YES or NO for each to the following Optional Voluntary Payments. By circling YES for the Building Fund and Scholarship Fund you are agreeing to pay these voluntary items each term. However, if you wish to pay for these items for selected terms please circle YES and in the ‘Notes” line provided, specify which terms you wish to pay the Building and/or Scholarship Funds. N.B. The Building & Scholarship Funds are optional voluntary contributions. Taxdeductible receipts will be issued with each contribution. YES = this amount will be included in your school fees deduction each term. NO = this amount will not be deducted from the total amount that appears on your terms account. 1.

Building Fund - $150 each term. YES or NO Notes: …………………………………

2.

Scholarship Fund - $150 each term. YES or NO Notes: ……………………………

Please list your daughter’s name and year in 2017 Daughter’s Name and Year Group: …………………………………………………….…...…… ……………………………………………………………………………………………………………. Completed by: Name ………………………….……… Signature: ………………………..……. Accounts by email: Please tick box if you would like: 1. To receive future school accounts by email:  Email: …………………………………………………………………………………....... 2. To nominate a second email address to send a copy of the school accounts, ie your spouse/partner  Email: ……………………………………………………………….……………………… Please return this form to the Queenwood Business Office on or before 6 January 2017 Mail or in person: The Business Manager, (6 Queen Street) Locked Bag 1 Mosman NSW 2088 Email: business.office@queenwood.nsw.edu.au (Write Direct Debit Authority in the subject line)

dd-payment-form-2017  
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