Customer Ref:


Take certain number of debits

Payment Information

Payment Day:
First Payment Date:
15 May 2024
The first amount (if different to the regular amount) should be:

Total First Payment:
I wish to pay a regular Direct Debit of:

Personal Details


Additional Information


Instruction to your Bank or Building Society to pay by Direct Debit

EAZY COLLECTRE ARE YOU OWED MONEY, Unit 4a, Edward Vii Quay, Navigation Way Ashton-on-Ribble, Preston, PR2 2YF

Service User Number:


Checking the box indicates that I am the Bank/Building Society holder and no authority other than my own is required. If more than one person is required to authorise debits from the account, you are unable to setup a direct debit online.
Please download PDF version of direct debit instructions by clicking on the button below.