Direct Debit Guarantee
Please double-check your details below.
Dignity in Dying
181 Oxford Street
London W1D 2JT
Instruction to your Bank or Building Society to pay by Direct Debit. Service user no. 755085
You're setting up a direct debit of £ each month.
Payments processed on the 4th of each month, beginning
Name of account holder
Instruction to your Bank or Building Society
Please pay Dignity in Dying 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 Dignity in Dying and, if so, details will be passed electronically to my Bank/Building Society.
Banks and Building Societies may not accept Direct Debit instructions for some types of account.
The details of your Direct Debit instruction will be sent to you within 3 working days or no later than 10 working days before the first collection.