By completing this registration form, I/we authorise Bx to debit payments from my Specified Credit Card, and I/we acknowledge that Bx will appear as the merchant on my credit card statement.
This Authorisation is to remain in force in accordance with the terms and conditions on this Direct Debit Request, I/we have read and understand the same. I/We acknowledge that our personal information collected, used, held and disclosed in accordance with the Bx Privacy Policy found at http://bxbusinessnetworking.com.au/meets/privacy policy-statement/.