Rent Payment Set Up Form

Keith Williams Real Estate - 8181

Payment Set Up Form

Payment Option*

With BatchPay, the customer gives authority to the merchant to process any payments due.

Rent Amount*

Frequency*

First Rent Date - pre-date by 4 days to allow for clearance*

Payment End Date*

Payment Term*

Payment Confirmation By*

Credit / Debit Card

Bank Account

Bank Name*

Account Name*

BSB*

Account Number*

Branch Name*

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