Setup Payment

1
Postcode* This field is required.
2
1. Select Payment Amount* This field is required.
Please Select
Please Select
£5
£6
£7
£7.50
£8
£9
£10
£11
£12
£13
£13.50
£14
£15
£16
£17
£18
£19
£20
£21
£22
£23
£24
£25
£26
£27
£28
£29
£30
£31
£32
£33
£34
£35
£36
£37
£38
£39
£40
£41
£42
£43
£44
£45
£46
£47
£48
£49
£50
3
1. Select Preferred Payment Date* This field is required.
1st of the Month
15th of the Month
26th of the Month
4
2. Select Payment Amount* This field is required.
Please Select
Please Select
£5
£6
£7
£7.50
£8
£9
£10
£11
£12
£13
£13.50
£14
£15
£16
£17
£18
£19
£20
£21
£22
£23
£24
£25
£26
£27
£28
£29
£30
£31
£32
£33
£34
£35
£36
£37
£38
£39
£40
£41
£42
£43
£44
£45
£46
£47
£48
£49
£50
5
2. Select Preferred Payment Date* This field is required.
1st of the Month
15th of the Month
26th of the Month
6
3. Select Payment Amount* This field is required.
Please Select
Please Select
£5
£6
£7
£7.50
£8
£9
£10
£11
£12
£13
£13.50
£14
£15
£16
£17
£18
£19
£20
£21
£22
£23
£24
£25
£26
£27
£28
£29
£30
£31
£32
£33
£34
£35
£36
£37
£38
£39
£40
£41
£42
£43
£44
£45
£46
£47
£48
£49
£50
7
3. Select Preferred Payment Date* This field is required.
1st of the Month
15th of the Month
26th of the Month
Should be Empty: