Direct Debit Setup
Contact Name
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First Name
Last Name
Contact Email
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Contact Phone Number
*
Format: 00000 000000.
Company Name
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Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Bank Account Name
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Sort Code
*
Format: 00-00-00.
Account Number
*
Format: 00000000.
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Subscription Services
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I authorise Direct Debit collections for Subscription Services
Ad-Hoc Invoices
I also authorise Direct Debit collections for Ad-Hoc Invoices (optional)
Instruction to your Bank or Building Society. Please pay ITCS Global / The IT Heroes / Buzzard Computers (trading names of Home Counties IT Ltd) and GoCardless, 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 Home Counties IT Ltd & GoCardless and, if so, details will be passed electronically to my bank/building society
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I understand and accept all Terms & Conditions related to this Direct Debit instruction
Signature
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Submit Direct Debit Instruction
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