Update Payment Method via Bank Direct Debit Via Partner – digital-services.priority-software.com

Update

Payment Method via Bank Direct Debit Via Partner

To update your payment method to a bank direct debit, please fill in the required details in this form. The authorization must be without a limit on the amount and without a limit on the date.
To begin the process, we kindly ask you to fill in the partner and customer details in the specified fields below.
Please attach the Standing Order form and ensure it is signed and completed according to the requirements.
Thank you,
Customer Service Team.

Dear Partner,

We are sorry to hear that the customer you are assisting wishes to disconnect from Priority. We would appreciate it if you could fill in the partner and customer details in the fields provided below.

Thank you,

Customer Service Team

Request Date *

Partner Details

Partner Company Name *

Partner Contact Name *

Partner Contact email *

Partner phone number *

(Example: ‎03-925-1000 or ‎0535-400-005)

Customer Details

Company Name (Hebrew) *

Company ID *

Requester name *

Requester email *

Requester phone number *

(Example: ‎03-925-1000 or ‎0535-400-005)

Bank Details

Bank name *

Bank department number *

Account number *

Account holder name *

By submitting the form, I confirm the update of the payment method as a permanent payment method according to the above information and authorize the execution of the direct debit by my bank.

Manual signature field *

For processing the order, please attach the complete order form

Customer Comments