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Direct Debit Request
Cymraeg
Homecare, Lifeline, Trade Refuse & Estates invoices
Homecare, Lifeline, Trade Refuse & Estates invoices
Current Progress
Authorisation
Bank Account Details
Payers Details
Summary
Unable to complete form
If you are not the holder of the bank account please contact us on (01639) 68 68 42.
Authorisation
Are you the account holder or do you have permission from the account holder to set up a Direct Debit on this account?
Are you the account holder or do you have permission from the account holder to set up a Direct Debit on this account?
Yes
No
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