Edit, Download, and Sign the Credit Card Direct Debit Request Form Instructions
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How do I fill this out?
To fill out the Direct Debit Request Form, ensure you have your American Express account number and bank details ready. Begin by selecting your preferred payment amount option. Next, enter the required personal and bank information in the form sections provided.

How to fill out the Credit Card Direct Debit Request Form Instructions?
1
Select your payment option: minimum payment, full balance, or fixed amount.
2
Provide your American Express account details and billing address.
3
Ensure your bank account can accept direct debits and complete the bank details.
4
Acknowledge and agree to the Direct Debit Service Agreement.
5
Sign and date the form before submission.
Who needs the Credit Card Direct Debit Request Form Instructions?
1
American Express cardholders looking to automate payments.
2
Individuals who prefer to manage their finances effectively.
3
Small business owners who use American Express for transactions.
4
Anyone seeking to avoid late payment fees.
5
People who want a convenient payment method for their monthly bills.
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What are the instructions for submitting this form?
To submit this Direct Debit Request Form, you have several options. You can send the completed form online through the American Express document center after logging into your account. Alternatively, you may fax it to (02) 9271 1999 or mail it to Reply Paid 1668, American Express Australia Ltd., Sydney NSW 2001. Ensure all required fields are filled out before submission.
What are the important dates for this form in 2024 and 2025?
Key dates for 2024 and 2025 include payment processing schedules. Note the due dates for your account to avoid any late fees. Ensure you adjust payments accordingly based on any changes announced by American Express.

What is the purpose of this form?
The purpose of the Direct Debit Request Form is to authorize American Express to withdraw scheduled payments from your nominated account. This ensures timely payment of your account balance, simplifying financial management. By using this form, cardholders can avoid late fees and ensure a streamlined payment process.

Tell me about this form and its components and fields line-by-line.

- 1. American Express Account Number: The unique identifier for your American Express account.
- 2. Billing Address: Your current residential or business address linked to the account.
- 3. Email Address: An email address for notifications and confirmations.
- 4. Financial Institution Name: The name of the bank where your nominated account is held.
- 5. BSB: The Bank State Branch code for your bank account.
- 6. Account Number: Your bank account number.
- 7. Account Holder(s) Name: The name(s) of the account holder(s) for the nominated account.
What happens if I fail to submit this form?
If you fail to submit this form, you will not be able to set up the direct debit arrangement. This may result in missed payments and potential late fees. Ensure the form is completed accurately and submitted promptly.
- Missed Payments: If the form is not submitted, payments will need to be made manually.
- Late Fees: Missing due dates can incur additional charges on your account.
- Account Management Disruptions: Not having direct debit can complicate account balance management.
How do I know when to use this form?

- 1. Setting Up Automatic Payments: Use this form to authorize automatic deductions from your bank account.
- 2. Managing Monthly Expenses: This helps in planning your finances by ensuring timely payments.
- 3. Avoiding Late Fees: Set up direct debit to prevent the accumulation of late payment charges.
Frequently Asked Questions
How can I download the Direct Debit Request Form?
You can download the form directly after making edits in PrintFriendly.
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Can I save my changes on PrintFriendly?
You can download the edited PDF to save your changes.
How do I fill in my bank details?
Ensure you have your bank account number and BSB ready to complete that section.
Is there a fee for using the Direct Debit service?
Refer to your American Express agreement for any applicable fees.
What if I want to cancel my Direct Debit?
You must contact American Express at least 5 business days prior.
Can I edit the form multiple times?
Yes, you can edit and modify the form as many times as needed before downloading.
How quickly will my Direct Debit take effect?
Your enrolment will be reflected on your account shortly after processing.
What should I do if my payment is dishonoured?
American Express will charge a dishonour fee, and you may need to rectify your account.
Can I use this form for joint accounts?
Yes, all signatories must sign the form to authorise direct debits.
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