Payment options: Visa, Mastercard. Relevant fees and charges apply.
Make regular contributions
Regular Payment Day of Month that payment is to be taken out.
Select the method you would like to pay by.
Information:After pressing the [Submit] button below, you will be shown and emailed Gold Coast Hospital Foundation Bank Account details. You can then make a payment using your mobile banking or online banking service.
Enter the credit card expiry date month and year.
Some payment cards are issued with additional identifying information. These cards will have the account number printed on the signature panel of the card followed by a three or four digit value.
Please click the What's This? link for more information.
Name of Financial Institution/Branch where account is held
Account Name: that is the name of the person(s) who hold the account
Bank Account No. (Excluding BSB No. as that is entered in a separate field.)
For your safety and security, we require that you enter your card's verification number. The CCV is a three or four-digit value printed on the card or signature strip.
Mastercard, Visa & Diners
For these cards, the number is not embossed like the card number, and is always the final group of numbers printed on the back signature panel of the card.
American Express cards have a four-digit code printed on the front side of the card above the number.
Terms and Conditions
These terms and conditions will be based on your organisations advice from your bank and your legal adviser....
This must be setup before using the Direct Debits module.
Thank you for your payment.