Direct Debit Mandate

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

Bank or Building Society Name *

Name of account *

Account Number *

Sort Code *

Bank Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Service User Number

Instruction to your bank or building society
Please pay A & S Donaldson (NI) Ltd t/a Asdon Group Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with A & S Donaldson (NI) Ltd t/a Asdon Group and, if so, details will be passed electronically to my bank/building society

Signature *

Clear

Date *

Date

Print Name

First Name Last Name

Email

example@example.com

Banks and Building Societies may not accept Direct Debit Instructions for some types of accounts

The Direct Debit Guaarantee

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
If there are any changes to the amount, date or frequency of your Direct Debit A & S Donaldson (NI) Ltd t/a Asdon Group will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request A & S Donaldson (NI) Ltd t/a Asdon Group to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
If an error is made in the payment of your Direct Debit by A & S Donaldson (NI) Ltd, t/a Asdon Group or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society. - If you receive a refund you are not entitled to, you must pay it back when A & S Donaldson (NI) Ltd t/a Asdon Group asks you to.
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.