Registration

Zia ul Ummah Foundation, 13 Victoria Street, Birmingham, B9 5AA, United Kingdom

E: [email protected] T: +44 (0)121 270 4786

Getting Started

In order to set up your Direct Debit Instruction on line you will need to provide the following information through the setting up procedure (your cheque book contains all the bank details that you require):

Bank or Building Society name and account number, sort code and branch address.

If you are not the account holder, a paper Direct Debit Instruction must be printed for completion by the account holder. Click here to print direct debit form.
If this is a Personal or Business account where you are solely authorised to complete this application, please continue.
If more than one person is required to authorise debits on this account, a paper Direct Debit Instruction must be printed for completion by all authorized persons. Click here to print direct debit form.

If you are unable to print please contact +44 (0)121 270 4786 and we will post you a paper Direct Debit Instruction.

By Ticking the box, you confirm to the Terms and Conditions of your contract and are bound by its terms.

If you do not wish to proceed any further please close your browser.

The Details of your Direct Debit Instruction will be sent to you within 5 working days or no later than 10 working days before your first collection

By using our service you are agreeing to these terms and conditions.

View T&Cs here - Zia ul Ummah Foundation

If more than one person is required to authorise debits on this account, a paper Direct Debit Instruction must be printed for

completion by all authorised persons. Click Here to print direct debit form.

Customer Ref:

Schedule

Service/Schedule:

Termination:

Until further notice

Payment Information

Payment Day:

2024

First Payment Date:

15 May 2024

I wish to pay a regular Direct Debit of:

£20.00

Personal Details

Company name

Title

First name

Surname

Date of birth

Line1

Line2

Line3

Line4

Post code

Home phone number

Mobile phone number

Work phone number

Additional Information

Additional Reference:

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

Eazy Collect Re Zia Ul Ummah, Zia ul Ummah Centre, 13 Victoria Street, Bordesley Green, Birmingham, B9 5AA

Service User Number:

Account holder name

Account number

Bank sort code

Please tick to confirm you are the only person required to sign for this account

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.