This debit will be made through the Bulk Electronic Clearing System (BECS) from your nominated account and will be subject to the terms and conditions of the Direct Debit Request Service Agreement
I have read and agree to the terms set out within the Service Agreement. I authorise Médecins Sans Frontières Australia User ID 121896 to debit my nominated account
I understand that I am giving Medicines Sans Frontieres New Zealand Charitable Trust (Merchant ID 21989) authority to debit my account with the amount shown until I notify Medicines Sans Frontieres New Zealand Charitable Trust to change my contributions. I confirm that I have received, read, and understood the Conditions of Authority to Accept Direct Debits
and authorise MSF to instruct Flo2Cash (herein referred to as the initiator having the Authorisation Code 3840359) to debit in accordance with this authority.