Instruction to your bank or building society to pay by Direct Debit Please fill in the form including official use box using a ball point pen and send it to: Service user number 9 8 1 9 6 0 Member Services Royal College of Paediatrics and Child Health FOR OFFICIAL USE ONLY 5-11 Theobalds Road This is not part of the instruction to your bank or building society. London WC1X 8SH Name(s) of account holder(s) Bank/building society account number Branch sort code Instruction to your bank or building society Please pay RCPCH 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 RCPCH and, if so, details will be passed electronically to my bank/building Name and full postal address of your bank or building society society. To: The Manager Bank/building society Address Signature(s) Postcode Date Reference (RCPCH number) Banks and building societies may not accept Direct Debit Instructions for some types of account This guarantee should be detached and retained by the payer. The Direct Debit Guarantee 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 RCPCH will notify you at least 10 working days in advance of your account being debited or as otherwise agreed. If you request RCPCH 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 RCPCH 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 RCPCH 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.
Instruction to your bank or building society to pay by Direct Debit Please fill in the form including official use box using a ball point pen and send it to: Service user number Member Services Royal College of Paediatrics and Child Health 5-11 Theobalds Road London WC1X 8SH 9 8 1 9 6 0 FOR OFFICIAL USE ONLY This is not part of the instruction to your bank or building society. Name(s) of account holder(s) Bank/building society account number Branch sort code Instruction to your bank or building society Please pay RCPCH 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 RCPCH and, if so, details will be passed electronically to my bank/building society. Name and full postal address of your bank or building society To: The Manager Bank/building society Address Signature(s) Postcode Date Reference (RCPCH number) Banks and building societies may not accept Direct Debit Instructions for some types of account This guarantee should be detached and retained by the payer. The Direct Debit Guarantee 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 RCPCH will notify you at least 10 working days in advance of your account being debited or as otherwise agreed. If you request RCPCH 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 RCPCH 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 RCPCH 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.
RCPCH%20Direct%20Debit%20form%202018.docx