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The Assyrian Aid Society - Australia
ABN 30 508 399 430 38
The Assyrian Aid Society - Australia

38 Alfred Street
Milsons Point NSW 2061 Australia
Telephone: +61 2 9564 3668
Fax: +61 2 9956 6522
E-mail:info@assyrianaidsociety.org

Direct Debit Request

I/we request you, the Assyrian Aid Society-Australia Incorporated (USER ID 125763), to arrange for funds to be deducted from my/our account at the financial institution shown below, according to the schedule specified below.


1. Your details
Name/names
 
Address
 
 
  Postcode:
Telephone number
Home: /  Work:

2. Your account details
Name of bank/finacial institution
 
Branch name
 
BSB number
 
Account number
 

3. Details of your debit
I/we wish to transfer funds from the account nominated in section 2. I/we wish to make a one-off payment as follows.
Amount
 $   
Amount in words
 

4. Signature(s) - Every account holder must sign this request
I/we acknowledge this direct debit arrangement is governed by the Contributor DDR Service Agreement provided with this form.
Signature of account holder 1 Date
Signature of account holder 2 Date
Signature of account holder 3 Date

CONTRIBUTOR DDR SERVICE AGREEMENT


OUR COMMITMENT TO YOU
This document outlines our service commitment to you, in respect of the Direct Debit Request (DDR) arrangements made between the Assyrian Aid Society Australia Inc. (USER ID 125763) and you. It sets out your rights, our commitment to you and your responsibilities to us together with where you should go for assistance.

INITIAL TERMS OF THE ARRANGEMENT
In terms of the Direct Debit Request arrangements made between us and signed by you, we undertake to periodically debit your nominated account for the agreed amount you wish to donate to assist Assyrian people in Bet-Nahrain.

DRAWIING ARRANGEMENTS

  • the first drawing under this Direct Debit arrangement will occur on the first day of every month or the day of the month you wish to nominate
  • if any drawing falls due on a non-business day, it will be debited to your account on the next business day following the scheduled drawing date
  • we will give you at least 14 days notice in writing or by telephone when changes to the initial terms of the arrangements are made. This notice will include any changes made to the initial terms
  • if you wish to discuss any changes to the initial terms, please contact the treasurer Shoushan Tower, or write to us to:

    The Assyrian Aid Society-Australia Inc.
    38 Alfred Street
    Milsons Point NSW 2061 Australia

YOUR RIGHTS

CHANGES TO THE ARRANGEMENT
If you want to make changes to the drawing arrangements, contact the treasurer Shoushan Tower. These changes may include:

  • Deferring the drawing; or
  • Altering the schedule; or
  • Stopping an individual debit; or
  • Suspending the DDR; or
  • Cancelling the DDR completely

INQUIRIES
Direct all inquiries to us, rather than to your financial institution, and these should be made at least 5 working days prior to the next scheduled drawing date. All communication addressed to us should include your account number. All personal information held by us will be kept confidential except that information provided to our financial institution to initiate the drawing the to your nominal account

DISPUTES
if you believe that a drawing has been initiated incorrectly, we encourage you to take the matter up directly with us by contacting the treasurer Shoushan Tower, or write to us to:

The Assyrian Aid Society-Australia Inc.
38 Alfred Street
Milsons Point NSW 2061 Asutralia

If you do not receive a satisfactory response from us to your dispute, contact your financial institution who will respond to you with an answer to your claim:

  • within 7 business days (for claims lodged within 12 months of the dispute drawing) or
  • within 30 business days (for claims lodged more than 12 months after the disputed drawing)

You will receive a refund of the drawing amount if we cannot substantiate the reason for the drawing.

Note: your financial institution will ask you to contact us to resolve your disputed drawing prior to involving them


YOUR COMMITMENT TO US

It is your responsibility to ensure that:

  • Your nominated account can accept direct debits (your financial institution can confirm this); and
  • That on the drawing date there is sufficient cleared funds in the nominated account; and
  • That you advise us if the nominated account is transferred or closed.

If your drawing is returned or dishonoured by your financial institution, we will contact you to let you know what has occurred and, as we will be paying a default fee, we will request that you ensure the smooth passage of future donations.


Please send you completed form to:



The Assyrian Aid Society of Australia Incorporated
38 Alfred Street
Milsons Point NSW 2061

or fax your form to +61 2 9956 6522

Thank you for your donation.