Organisation Name (if applicable)
Account Number (found at the bottom of your invoice)
I propose to pay: $
Until the full balance of my account is paid
I understand that upon submission of this payment plan proposal, the accounts team will review the proposal, and if accepted I will maintain payments as per the agreed proposal until the balance of the account is paid in full (including any future invoices that may be raised after the proposal acceptance). Failure to do so may result in action being taken on my account including, but not limited to; further late fees or account administration fees, referral to a debt collection agency or a lodgement on my credit record.
I agree to the terms above if this payment plan proposal is accepted.
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