Paydirect Standing Order Request

If you would prefer to pay your childcare provider by our Paydirect method where we pay your childcare provider a automated payment please complete the details below:

Paydirect Standing Order Form

Email: *

Full Name: *

Contact Tel. No.: *

Childcare Providers Name: *

Gemelli account Ref.:

Amount to be Paid:

Date of Commencment:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year20102011201220132014

Payment Frequency: select...WeeklyMonthly

Day of Month to be Paid:

Childs Name: *

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