Credit Card Payment Authority by liuhongmei

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									CREDIT CARDS, BANK CHEQUES AND MONEY ORDERS
PAYMENT FORM FOR:
APPLICATION OF SKILLS ASSESSMENT FOR PERSONS SEEKING A
TEMPORARY SPONSORED WORKING VISA (SUBCLASS 457)

You must pay your fees, in Australian dollars as a bank cheque, money order or credit card authority
payable to Victoria University.

If paying by Bank Cheque or Money Order, please fill in your details below and post your application,
with all required documentation and fees/payment to the contact details below:

Name:

Address:



Email:                                                             Phone:

Fax:                                                                               Date:

Payment for (please tick):                   Application Fee-all occupations                $900
                                             Technical Interview                           $1200
                                             Technical Interview – Welding                 $1400

Payment Options (please tick):                    Money Order           Bank Cheque           Credit Card(see below)
-------------------------------------------------------------------------------------------------------------------------------
PLEASE COMPLETE THE FOLLOWING PAYMENT DETAILS IF PAYING BY CREDIT CARD:

Credit Card Details:       I, ______________________________________________________________________________

                           Authorise Victoria University to debit my credit card for the amount of $_______________________
                           as payment for the processing of my Application for 457 Skills Assess and understand that the fee
                           is non-refundable.

Credit card type:              Mastercard                 VISA card

                                                                                                   Expiry
Credit Card Number:                           -                          -
                                                                                                   Date:
                                                                        Signature of
Name on Card:
                                                                        Card Holder:


CONTACT DETAILS:
                                                     Att: Jane Zammit
                                                     Sunshine Campus
                                                    Victoria University
                                                      PO Box 14428
                                                   Melbourne VIC 8001

								
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