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Please print off and retain for your records. Name of account holder: Bank / Building Society Sort Code: Account Number: Date: |
Instruction to your bank / building society to pay by Direct Debit. Service User Number: Instruction to your bank or building society: Please pay Direct Debits from the account detailed in this instruction, subject to safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with and details will be passed electronically to my bank / building society. |
The Direct Debit Guarantee
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