Direct Debit Agreement - Re-enrolment

Name(Required)

First (Add Above) Last (Add Above)

Email(Required)

Phone(Required)

Address(Required)

Street Address (Add Above) Address Line 2 (Add Above) City (Add Above) State / Territory (Add Above) Post Code (Add Above) Country

Recommencement Date(Required)

Please select a recommencement date within 3 months from your current expiry date.

Consent(Required)

I agree to the Direct Debit Agreement outlined below.

1. By agreeing to the Direct Debit Request you authorise Stripe to arrange for funds to be debited from your nominated financial institution account (the nominated account is the Debit/Credit Card used to make payment of your course deposit). Stripe is acting as an agent for Australian College of Weight Management Pty Ltd and Stripe does not provide any goods or services to you.

2. Stripe or Australian College of Weight Management Pty Ltd will give you at least 14 days notice in writing of any changes to the terms of the drawing arrangements.

3. Stripe will keep information relating to your nominated account confidential in accordance with Stripe’s privacy policy, except where required for the purposes of conducting direct debits with your financial institution. Your personal information will be transferred by Stripe to the United States. If you do not want to provide your personal information to Stripe in connection with the Direct Debit Request, Stripe will not be able to debit your nominated account.

4. Where the due date is not a business day Stripe will draw from your nominated financial institution account on the next business day.

5. It is your responsibility to:
- Ensure your nominated account can accept direct debits;
- Ensure that there are sufficient clear funds available in the nominated account to meet each drawing on the due date;
- Advise immediately if the nominated account is transferred or closed or your account details change;
- Arrange a suitable payment method if Stripe or Australian College of Weight Management Pty Ltd cancels the drawing arrangements;
- Ensure that all authorised signatories nominated on the financial institution account to be debited authorise the Direct Debit Request.

6. Subject to the terms and conditions of your nominated financial institution account and your agreement with Australian College of Weight Management Pty Ltd, you may alter the drawing arrangements. Such advice should be received by Australian College of Weight Management Pty Ltd at least 7 business days prior to the drawing date for any of the following:
- Changing your nominated account number
- Altering a DDR schedule
If you require further information, please contact Australian College of Weight Management Pty Ltd. Alternatively, you can also contact your financial institution or confirm your financial rights.

7. If you believe that there has been an error in debiting your account, you should notify Australian College of Weight Management Pty Ltd as soon as possible. Australian College of Weight Management Pty Ltd will notify you in writing of its determination and the amount of any adjustment that will be made to your nominated account (if any). Stripe will arrange for your financial institution to adjust your nominated account by the applicable amount (if any). Alternatively, you can also contact your financial institution.

8. The details of your drawing arrangements are contained in the Direct Debit Request here.
Total re-enrolment Fees may be subject to discounts and/or promotions and will be applied according to the current discount/promotion details you have received in writing to the following re-enrolment fees which includes:
- Nutrition for Personal Trainers (Short Course) = $1950
- 10859NAT Certificate IV in Weight Management = $3950
- 11133NAT Diploma of Weight Management = $4950
- HLT37315 Certificate III in Health Administration = $2950

9. Stripe reserves the right to cancel the drawing arrangements if three consecutive drawings are dishonoured by your financial institution, and for Australian College of Weight Management Pty Ltd to arrange with you an alternative payment method. Please refer to the terms and conditions of your nominated financial institution account to see whether dishonour fees apply. Australian College of Weight Management Pty Ltd may charge additional dishonour fees in accordance with your agreement with Australian College of Weight Management Pty Ltd Terms of Enrolment.

Stripe Privacy Policy: https://stripe.com/au/privacy

Financial Rights: https://financialrights.org.au/factsheets/direct-debits-from-credit-cards-factsheet/

ACWMAH Terms of Enrolment:https://www.collegeofweightmanagement.com.au/terms-of-enrolment/

Direct Debit Schedule(Required)

Payment Plan 1 = $200 Deposit paid today and $30 per week starting 7 days after deposit is paid in full

Payment Plan 2 = $200 Deposit paid today, $1000 debited within 1 business day followed by $30 per week

Payment Plan 3 = $200 Deposit paid today, $1000 debited within 1 business day and balance paid in 1 months time (enrolments starting within the next 30 days ONLY)

Short Course Upfront = $200 Deposit paid today and balance debited in 1 business day

Please Note: Adjustments will be applied as per the terms of the Direct Debit Agreement and Schedule above so please ensure you select the correct option that suits your enrolment and financial needs. We cannot accept upfront payments of more than $1500, upfront is not an option on some courses and if selected incorrectly above you will be placed on the correct option based on your Enrolment Agreement, Course Start Date and terms of the Direct Debit Agreement.

Weekly Instalment

Price:

Re-enrol Deposit(Required)

Paid Today

Credit Card(Required)

Card Details

Cardholder Name

Signature(Required)