Fill this online form to authorise ClickPOS accounts department to charge the monthly fees directly from your nominated account.
Please ensure there are cleared funds available on first working day of each month.
You will receive an invoice sent to your nominated email after the processing is complete.
You may opt to fill a PDF version of the form please
click here to download
, fill the form, scan or take a photo then email to
Credit Card Or Direct Debit Authority (CCDA)
Enter Your Details
Enter Authority Details
Direct Debit Authority
Credit Card Authority
Fill this section if you want to make payments using your bank account eg Cheque or Savings.
(for Accounts held in Australia only)
I/We request CLICKPOS PTY LTD to arrange for funds to be debited from my/our nominated account.
Do you have a second account holder for this account?
Fill this section if you want to make Payment using your CREDIT CARD
I request CLICKPOS PTY LTD to arrange for funds to be debited from my nominated credit card.
NOTE: Payments by credit card will incur a card surcharge fee of 1.5%
Card Expiry Month
Card Expiry Year
Card Holder Name
Please Sign Below (with Mouse or Touchscreen)
Secondary Account Holder - Please Sign Below (with Mouse or Touchscreen)
Your PDF Document is Ready for download. Please click the link below to download & after validating please email to
Download Signed PDF
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