Customer Ref:

Schedule

Termination:
Until further notice

Payment Information

Payment Day:
2020
First Payment Date:
01 February 2020
I wish to pay a regular Direct Debit of:
£48.00

Personal Details

 
 
 
 
 

Additional Information

 
 
 
 
 
 
 
 
 
 
 

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

Eazy Collect Re www.aptuk.org, One Victoria Square, Birmingham, B1 1BD

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.

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