Sign up to Direct Debit and you could win £50 worth of vouchers!

Direct Debit Form - Please fill in all fields

*This is a mandatory field. Name(s) of Account Holders(s)

*This is a mandatory field. Bank/Building Society account number

*This is a mandatory field. Branch Sort Code (6 digits)

*This is a mandatory field. Full name and postal address of your bank or building society

*This is a mandatory field. KHT Payment Reference (this is the 8 digit number on you payment reference card)

*This is a mandatory field. Property/Garage Address

*This is a mandatory field. Would you like to set up your Direct Debit to be taken out of your account weekly (i.e. once a week) or monthly (i.e. on a specified date every month? Please tick one option.

Monthly
Weekly

*This is a mandatory field. Which day in the week would you like your Direct Debit to be paid? (If you want your Direct Debit to be paid monthly, please choose 'None - Monthly')

Monday
Tuesday
Wednesday
Thursday
Friday
None - MONTHLY

*This is a mandatory field. If you wish for your Direct Debit to be paid monthly please specify which DATE in the month e.g. 15th If you want your Direct Debit to be paid weekly, please type N/A

*This is a mandatory field. I agree to pay Knowsley Housing Trust via Direct Debit 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 Knowsley Housing Trust and, if so, details will be passed electronically to my Bank/Building Society.

Yes
No

Sign up to Direct Debit and you could win £50 worth of vouchers! - KHT

Sign up to Direct Debit and you could win £50 worth of vouchers!

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