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T. O. 2017 DEBIT AUTHORISATION FORM PARENT S NAME TEL w ADDRESS TEL h CELL ID NO I accept responsibility for all school music and aftercare fees for the following pupils Name Grade in 2017 I elect to pay my School fees by Debit Order which will include Music and Aftercare fees if applicable. Tick the applicable NEW DEBIT ORDER monthly from 1 February 2017 to 1 December 2017. Authority Form attached I have an EXISTING DEBIT ORDER and want it to continue. ACCOUNT NAME NAME OF BANK BRANCH BRANCH...
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