Midlands Sporting Association Ltd, Molineux Stadium, Waterloo Road, Wolverhampton, WV1 4QR
Telephone: 01902 658 666     Email: [email protected]
 
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Customer Ref:

Schedule

Termination:
Until further notice

Payment Information

Payment Day:
2024
First Payment Date:
15 April 2024
I wish to pay a regular Direct Debit of:
£4.34

Personal Details

 
 
 
 
 

Additional Information

 
 
 
 
 
 

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

APS Re Wolves Lottery, 34 Waterloo Road, Wolverhampton, WV1 4DG

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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