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PAYMENT PLAN FORM

Payment proposal to the Executive and Finance Committee

  • Please complete all sections of this form.
  • State the reasons for requesting a deferral and provide any additional information that the Executive Committee should consider when deciding on a deferral of payment of fees.
  • Submit the completed form no later than February 14, 2024, to be considered at the next Executive and Finance Committee meeting.
  • Payment via direct credit:  BSB: 085 005  A/C No: 824308876   Ref: Invoice Number
  • A 1% credit card surcharge will be applied to all credit card transactions.

APPLICATION INFORMATION

Provide a detailed explanation of why you are requesting a deferral of payment.
Include any relevant information or circumstances that the Executive Committee should take into account when reviewing your request.

PAYMENT PLAN OPTIONS

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