GPW Accounts - Siteguard

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1Basic Account Information

2Credit Card Authorisation

3Direct Debit Authorisation

4Declaration

5Submit Application

GPW Group Pty Ltd

GPW Group Pty Ltd Account Application

Application for Business or individual *

Who is applying for an account with GPW, a Business or an Individual?

Legal Entity Name of Business *

ABN *

Business or Individual Address *

Address Line 1

City

State / Province / Region

Postal Code

Your Name *

First

Last

Your Phone *

Your Email *

Nature of Business *

Other *

Billing/Accounts Email *

This is the email address the accounts will be sent to.

Payment Method *

Paragraph Text

Other Account Terms *

Please enter the Terms you would prefer other than those offered above. Please do not be offended if your Terms are not accepted.

Credit Card Authorisation *

Visa/Mastercard *

Amex *

Name on Card *

First

Last

Card Expiry Date *

Authorisation

Credit Card Authorisation Signature *

Clear Signature

Siteguard Rentals Direct Debit Authorisation Form

Please complete all fields. You may cancel this authorisation at any time by contacting us. This authorisation will remain in effect until cancelled.

Request and Authority to debit the account named below to pay GPW Group Pty Ltd
ABN: 38 628 213 267

The following is your Direct Debit Service Agreement with GPW Group Pty Ltd - ABN: 38 628 213 267. The agreement is designed to explain what your obligations are when undertaking a Direct Debit arrangement with us. It also details what our obligations are to you as your Direct Debit Provider.

We recommend you keep this agreement in a safe place for future reference. It forms part of the terms and conditions of your Direct Debit Request (DDR) and should be read in conjunction with your DDR form.

Definitions

account means the account held at your financial institution from which we are authorised to arrange for funds to be debited.
agreement means this Direct Debit Request Service Agreement between you and us.
banking day means a day other than a Saturday or a Sunday or a public holiday listed throughout Australia.
debit day means the day that payment by you to us is due.
debit payment means a particular transaction where a debit is made.
direct debit request means the Direct Debit Request between us and you.
us or we means GPW Group Pty Ltd (the Debit User) you have authorised by signing a direct debit request.
you means the customer who signed the Direct Debit Request.
your financial institution means the financial institution nominated by you on the DDR at which the account is maintained.

1. Debiting your account

By signing a Direct Debit Request, you have authorised us to arrange for funds to be debited from your account. You should refer to the Direct Debit Request and this agreement for the terms of the arrangement between us and you.

We will only arrange for funds to be debited from your account as authorised in the Direct Debit Request

If the debit day falls on a day that is not a banking day, we may direct your financial institution to debit your account on the following banking day.
If you are unsure about which day your account has or will be debited you should ask your financial institution.

2. Amendments by us

We may vary any details of this agreement or a Direct Debit Request at any time by giving you at least fourteen (14) days’ written notice.

3. Amendments by you

You may change, stop or defer a debit payment, or terminate this agreement by providing us with at least fourteen (14) days’ notification by writing to: PO Box 6037, WESTDALE NSW 2340 or by telephoning us on 1300 479 000 during business hours or arranging it through your own financial institution.

4. Your obligations

Is your responsibility to ensure that there are sufficient clear funds available in your account to allow a debit payment to be made in accordance with the Direct Debit Request.

If there are insufficient clear funds in your account to meet a debit payment:

(a) you may be charged a fee and/or interest by your financial institution;

(b) you may also incur fees or charges imposed or incurred by us; and

(c) you must arrange for the debit payment to be made by another method or arrange for sufficient clear funds to be in your account by an agreed time so that we can process the debit payment.

You should check your account statement to verify that the amounts debited from your account are correct

5. Dispute

If you believe that there has been an error in debiting your account, you should notify us directly on 1300 479 000 and confirm that notice in writing with us as soon as possible so that we can resolve your query more quickly. Alternatively you can take it up with your financial institution direct.

If we conclude as a result of our investigations that your account has been incorrectly debited we will respond to your query by arranging for your financial institution to adjust your account (including interest and charges) accordingly. We will also notify you in writing of the amount by which your account has been adjusted.

If we conclude as a result of our investigations that your account has not been incorrectly debited we will respond to your query by providing you with reasons and any evidence for this finding in writing.

6. Accounts

You should check:

(a) with your financial institution whether direct debiting is available from your account as direct debiting is not available on all accounts offered by financial institutions.

(b) your account details which you have provided to us are correct by checking them against a recent account statement; and

(c) with your financial institution before completing the Direct Debit Request if you have any queries about how to complete the Direct Debit Request.

7. Confidentiality

We will keep any information (including your account details) in your Direct Debit Request confidential. We will make reasonable efforts to keep any such information that we have about you secure and to ensure that any of our employees or agents who have access to information about you do not make any unauthorised use, modification, reproduction or disclosure of that information.

We will only disclose information that we have about you:

(a) to the extent specifically required by law; or

(b) for the purposes of this agreement (including disclosing information in connection with any query or claim).

8. Notice

If you wish to notify us in writing about anything relating to this agreement, you should write to: PO Box 6037, WESTDALE NSW 2340

We will notify you by sending a notice in the ordinary post to the address you have given us in the Direct Debit Request.

Any notice will be deemed to have been received on the third banking day after posting.

Direct Debit Request Service Agreement *

To complete this Direct Debit Request Service Agreement you must agree to the Terms and Conditions at the top of this page.

Direct Debit Request Authorisation

Name of Financial Institution *

Address of Financial Institution *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Name of Account to be Debited *

BSB *

Account number *

First Debit Date

This is not required, but may assist you in creating the first Debit transaction Date

Payment Intervals

This is not required, but may be of assistance when selecting a starting date etc.

Acknowledgement

Acknowledgement Signature 1 *

Clear Signature

Name 1 *

First

Last

Signature 1 Date *

Acknowledgement Signature 2

Clear Signature

Name 2

First

Last

Signature 2 Date

Declaration

Declaration The information provided in and with this Application is true and correct. The GPW Group Pty Ltd (herein referred to as GPW) is authorised to make all enquiries it deems necessary to investigate the Applicant’s financial status and the Applicant’s bankers, credit providers and any credit reporting agency are authorised to disclose to GPW information concerning the Applicant. GPW is authorised to disclose information concerning the Applicant for that purpose.  The Applicant acknowledges and agrees that all transactions under the GPW Trading Account will be subject to GPW’s General Terms and Conditions of Supply. If you have any concerns with GPW's General Terms and Conditions of Supply, or if you wish to propose any changes to those terms and how they apply to transactions under the GPW Trading Account, please contact us to discuss. The Applicant declares that the credit (if any) to be provided under the Trading Account is to be applied wholly or predominantly for a purpose that is not a National Consumer Credit Code purpose and makes this declaration before entering into any agreement with GPW.  I acknowledge and agree that by signing up to this account I am required to pay to GPW a service charge for the cost of supplying services for the Surveillance Systems, where such service charge is calculated on the number of weeks or part thereof each Surveillance System Service was maintained until notification of Termination of such services had been granted (or other period as agreed).  I warrant that, by completing and signing this Application, I am authorised to submit this Application on behalf of the Applicant and that I have authority to enter into transactions under the GPW Trading Account on behalf of the Applicant.

Signature *

Clear Signature

Date *

GPW Group Pty Ltd

GPW Group Pty Ltd Account Application

Siteguard Rentals Direct Debit Authorisation Form

Request and Authority to debit the account named below to pay GPW Group Pty Ltd
ABN: 38 628 213 267

Aussie Made. Aussie Tough.

Australia Wide

1300 479 000

Our systems
prevent 99% theft

We’re helpful
and easy to work with

We provide
high-quality footage

1300 479 000

GPW Group Pty Ltd

GPW Group Pty Ltd Account Application

Siteguard Rentals Direct Debit Authorisation Form

Request and Authority to debit the account named below to pay GPW Group Pty Ltd ABN: 38 628 213 267

Aussie Made. Aussie Tough.

Australia Wide

1300 479 000

Our systemsprevent 99% theft

We’re helpfuland easy to work with

We providehigh-quality footage

1300 479 000

Request and Authority to debit the account named below to pay GPW Group Pty Ltd
ABN: 38 628 213 267

Our systems
prevent 99% theft

We’re helpful
and easy to work with

We provide
high-quality footage