Fee Payment Option Form

St Hilda's Fee Account

Parent/ Guardian Name(Required)

Email(Required)

Student Name/s(Required)

I would like to pay my St Hilda's fees:(Required)

Annually

Quarterly

10 Monthly Payments (16th of the Month)

I would like to pay by:(Required)

Direct Debit from my nominated bank account

Direct Debit from my credit card (credit card fees apply)

Surname or Company Name(Required)

Given Name or ACN/ARBN(Required)

Name and Address of Financial Institution(Required)

Name of Account(Required)

BSB Number(Required)

Account Number(Required)

Direct Debit from Nominated Bank Account Acknowledgement(Required)

I request and authorise St Hilda's Anglican School for Girls (Inc) - User ID No150073 to arrange and debit through the Bulk Electronic Clearing System from an account held at the financial institution identified above subject to the terms and conditions of the Direct Debit Request Service Agreement, and in the Schedule of Fees and Business Conditions (refer to www.sthildas.wa.edu.au/enrol/schedule-of-fees)

Direct Debit From Credit Card Acknowledgement(Required)

I understand that once I have been granted access to St Hilda's SEQTA Engage platform I will be will be required to enter my credit card details into this secure and encrypted system for processing as per my preference above. I also agree and acknowledge the Financial Requirements as set out in the Schedule of Fees and Business Conditions (refer to www.sthildas.wa.edu.au/enrol/schedule-of-fees)

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26 Bay View Terrace Mosman Park WA 6012 +61 (8) 9285 4100 sthildas@sthildas.wa.edu.au

Postal Address PO Box 34 Mosman Park WA 6912

Acknowledgment to Country
The St Hilda’s community respectfully acknowledges the past and present Traditional Owners of the Land on which we stand, the Nyoongar Whadjuk people. Together, we recognise and appreciate the contributions of Aboriginal and Torres Strait Islander people to the education and celebration of all children and people in this country.

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