Instructions to Accept Direct Debit

Instructions to Accept Direct Debit
The following are paperless instructions to set up your direct debit with PAUA TO THE PEOPLE.

To provide paperless instructions for Direct Debit you must be authorised to nominate the bank account you nominate individually. If you need joint authorisation for your nominated bank account or would prefer to download and sign a Direct Debit Authority, this can be downloaded here.

Confirmation of this Direct Debit will be sent to you within 5 working days. This communication will outline the full terms and conditions, including how to terminate the Direct Debit Authority.
Full Name*

First NameLast Name
Customer Number
Address*
E-mail*
Bank Account Details
Name of Bank Account to be debited*
Account Number*
Bank*
Bank Branch
Bank Address
Bank Town/City
Please use my DD from:

ImmediatelyFrom the date below
Date to use this Direct Debit from
Confirm*

I confirm that I have the authority to operate individually the bank account supplied below.I agree that all communication regarding this Direct Debit Authority will be by email using the address provided above.I authorise you until further notice in writing to debit. my/our account with all amounts which PAUA TO THE PEOPLE may initiate by Direct DebitI authorise my bank to accept Direct Debits from PAUA TO THE PEOPLE against the bank account supplied through the Paperless Direct Debit Service.
Signature*
Please use your mouse to sign your initials.
Enter the message as it's shown*
Should be Empty:

Bank Account Details