DIGITAL MANDATE by Three Peaks | 086 137 3257
Membership Signup
Member Information
FBC0000133
First name
Last name
Email Address
Mobile Number
Payment by Debit Order
Office use only
Payment Method: Debit Order
This section will be controlled by the client, only for demo use.
Fixed or Varible Amount (Invoice)
Fixed
Membership Fee
Capped Amount
Debit Order Date
Allowed consumer to select
Last day of the month
First day of the month
Invoice due date
1st
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The option of selecting the action date for the debit order can be provided for your customer.
Action Days for Consumer Selection
No custom action dates selected
Select Allowed Dates
Allow customer to select the action date when completing the mandate form.
The option of selecting the action date for the debit order can be provided for your customer.
Custom Action Date(s)
All
Last day of the month
First day of the month
Invoice due date
1st
2nd
3rd
4th
5th
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10th
11th
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31st
Accept
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