The Patients Association
All Instructions are supported by the Direct Debit Guarantee. In order to set up a Direct Debit online you must be the account holder of a personal or business bank or building society account.
Contact Us
Name:
The Patients Association
Address:
PO Box 935 Harrow Middlesex HA1 3YJ
Telephone Number:
020 8423 9111
Email:
mailbox@patients-association.com
Payment Schedule
Payment Plan:
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Web Sign Ups - Monthly
End:
Until further notice
Payment Information
Payment day:
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15
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January
February
March
April
May
June
July
August
September
October
November
December
2024
The first amount (if different to the regular amount) should be:
£
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Total First Payment:
£
0
I wish to pay a regular Direct Debit of:
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£2.00
Contact Information
Title:
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---Select---
Mr
Mrs
Ms
Master
Miss
Dr
Professor
Reverend
Lord
Lady
Cllr
Sir
Other
First Name:
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Last Name / Company Name: *
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*
Initials:
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Post code:*
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*
Address line 1:
*
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*
Address line 2:
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Address line 3:
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Address line 4:
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Town/City:*
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*
Telephone Number:
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Mobile Number:
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Email:*
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*
*
Instruction to your Bank or Building Society to pay by Direct Debit
The Patients Association, PO Box 935 Harrow Middlesex HA1 3YJ
Service User Number:
Account holder's name:*
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*
Account number:*
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*
Sort code:*
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*
NOTE: Your account number and sort code will identify your bank and branch address.
Instruction to your Bank or Building Society
Please pay
BPS re: THE PATIENTS ASSOCIATION
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
BPS re: THE PATIENTS ASSOCIATION
and if so, details will be passed electronically to my Bank/Building Society.
NOTE: Banks and Building Societies may not accept Direct Debit Instructions for some types of accounts.
23/04/2024
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
BPS re: THE PATIENTS ASSOCIATION
will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request
BPS re: THE PATIENTS ASSOCIATION
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
BPS re: THE PATIENTS ASSOCIATION
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
BPS re: THE PATIENTS ASSOCIATION
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.
Check Authorisation
You must tick the box to continue
Please confirm that you are the only person required to authorise debits from this account.
If you are not the only person required to authorise debits you will need to complete a paper Direct Debit Instruction. Please contact us to discuss.
* Denotes a mandatory field