The Hundred Parishes Society

POSTAL APPLICATION: DIRECT DEBIT AUTHORISATION

Name and full postal address of your bank or building society:

Please print this form,
then complete it by hand

Bank / Building Society

Note 1: Banks and building societies may not accept Direct Debit instructions for some types of account.

Note 2: A Direct Debit instruction can be cancelled at any time by advising the Hundred Parishes Society or your bank.

Our Service User Number: 691213

Please pay The Hundred Parishes Society Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee (please see Notes, Note 4). I understand that this instruction may remain with The Hundred Parishes Society and, if so, details will be passed electronically to my Bank/Building Society.

Notes Return to Postal Options