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Change My Payment Option

Use this form to request a change to your payment option.

Your Date of Birth  
/ /  
Payment Option You Are Currently On   Select the payment option you are currently on below


Payment Option You Want to Change to   Select your new payment option below


Payment Plan Set Up
Only complete the payment plan set up below if you are changing to this option
Payment Frequency Enter the frequency agreed



Payment Start Date Select a date for the first payment to be made your account.
/ /  

By clicking the 'submit' button on this from you are requesting to change your payment option as depicted above. Where you are requesting to change to a payment plan you agree to these terms and agree the campus operator can complete the Debit Success online payment plan form using the details submitted by you in order to start the payment plan with Debit Success. You agree to pay any payment processing fees advised to you by the campus operator charged by Debit Success and agree the payment plan will be administered based on the Debit Success terms and conditions.