25323182_10212868307375944_425432259_n[1].jpg
download.png

Nexus Performance Direct Debit Form

By filling out the following information you have given consent for your requested services to proceed.
We look forward to having you a part of our team.

The debits are set to occur every Thursday unless otherwise stated with Nexus Performance in the form below. Our direct debits are processed through a company called FFA Paysmart, on your bank statements you will see the reference 'Nexus Performance'.

 

Please complete the form below

Name *
Name
Address *
Address
International clients are required to enter their card details.
NAME: BSB: ACCOUNT:
CARD HOLDER: CARD NUMBER: CARD EXPIRY:
I have read and agree to the client disclaimer and terms and conditions. *
Minimum Term *