Direct Debit - Institute Krav Maga

Name*

First Name Surname

Address*

Street Address Town ZIP / Postal Code Country

Contact Number*

Email*

Agreement*

I hereby agree to make monthly payments as detailed above and thereafter until such time as i shall give written notice to terminate in accordance with termination conditions, I agree that if i do not make each payment when due the total sum for the notice period will become due and payable to Krav Maga UK Ltd together with any outstanding payments. I also declare that I have read this agreement (front and back) before signing it and that I have received a copy.

Instruction to your bank or building society

Please pay PSL re Krav UK Ltd Direct Debits from the account detailed in this Instrustion subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with PSL re Krav Maga UK Ltd and , If so, details will be passed electronically to my bank/building society.

Instruction to your bank or building society to pay by Direct Debit 441918

Building society*

Name of account Holder*

Bank/Building Society account number*

Branch Sort Code*

Date*

The Direct Debit Guarantee

This Guarantee is offered by all banks and building socities that accept instructions to pay Direct Debits. If there are any changes to the amount, date or frequency of your Direct Debit PSL re Krav Maga UK Ltd will notify you five (5) working days in advance of your account being debited or as otherwise agreed. If you request PSL re Krav Maga UK Ltd 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 PSL re Krav Maga UK Ltd or your bank or building society you are entitled to 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 back when PSL re Krav Maga UK Ltd asks you to You can cancel a Direct Debit at any time by simply contacting your bank or building society. One month written notice applies info@institute-kravmaga.co.uk.

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Direct Debit Form

Instruction to your bank or building society

Instruction to your bank or building society to pay by Direct Debit 441918

The Direct Debit Guarantee

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