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0800 366 466

Forms

How can I obtain a direct debit form?

Simply download the FMG Direct Debit Form.pdf(52 KB) (you will need Acrobat Reader) and complete the following details:

Client ID
Pak ID
Circle the annual or monthly payment option
Your bank account name
Your bank account number, bank, branch, town and city
Your signature and the date

Then once completed send to us at no cost:

FMG Payment Services
Freepost 120395
PO Box 1943
Palmerston North Central
Palmerston North 4440

If you do not have Acrobat Reader, you can download it here.

Otherwise you can call us on 0800 366 466 and speak with one of our consultants.  Have your bank account details available at the time of the call and we can load the direct debit over the phone. We’ll then send you out the direct debit form to sign and return. 

Alternatively, if you do not wish to give those details over the phone, we can send out a direct debit form for you to complete and return with your bank account name, details and signature.

Payments are deducted out on the policy renewal date, if paying by monthly direct debit the renewal date each month will be your deduction date, if this payment falls on a weekend or public holiday then it will be deducted on the next business day.