Direct Debit Form

Direct Debit /Credit Card request form. This form is to be used authorising Pulteney to set up standing Direct Debit / Credit Card arrangements.

Once the form is completed, please return it to the Fees and Accounts Officer, Jane Reynolds.
Post to: Fees & Accounts, 190 South Tce, Adelaide, SA, 5000 or email Jane here.

Click here to download the form