Fillable Magpas Air Ambulance Direct Debit Form

Fill Online, Printable, Fillable, Blank Magpas Air Ambulance Direct Debit Form Form

Use Fill to complete blank online OTHERS (UK) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Magpas Air Ambulance Direct Debit Form

On average this form takes 9 minutes to complete

The Magpas Air Ambulance Direct Debit Form form is 1 page long and contains:

  • 2 signatures
  • 13 check-boxes
  • 20 other fields

Country of origin: UK
File type: PDF

BROWSE OTHERS (UK) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
SAVING LIVES 24/7
Please complete the whole form using a black ball point pen
and return to:
FREEPOST RTEK–LRUA–ULTA, Magpas Air Ambulance,
Centenary House, St Mary’s Street, HUNTINGDON PE29 3PE
Bank/building society account number
Name(s) of account holder(s)
Branch sort code
Name and full postal address of your bank or building society
To The Manager Bank/building society
Address
Postcode
The Direct Debit Guarantee
Please detach and keep the Direct Debit Guarantee safe for your records
• The 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
MAGPAS will notify you 10 working days in advance of your account being debited
or as otherwise agreed. If you request MAGPAS to collect a payment, conrmation
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 MAGPAS 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 MAGPAS
asks you to
• You can cancel a Direct Debit at any time by simply contacting your bank or
building society. Written conrmation may be required. Please also notify us.
Instruction to your Bank or Building
Society to pay by Direct Debit
4 3 9 8 3 3
Service user number
Please tick the amount you would like to be debited from your account
1 chance a week (1 ticket)
Monthly
An initial payment of £6.34
then £4.34 monthly
£13 quarterly
£26 half yearly
£52 yearly
2 chances a week (2 tickets)
Monthly
An initial payment of £12.68
then £8.68 monthly
£26 quarterly
£52 half yearly
£104 yearly
Your subscription will start at the earliest available date.
Instruction to your bank or building society
Please pay MAGPAS 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 MAGPAS and, if so, details will be passed electronically to
my bank/building Society.
Keep in touch
Your support makes a lifesaving difference and we’d love to keep you
up to date with the work you are helping to fund (including updates
and our latest campaigns). If you would like to stay in touch then
please let us know the best way(s) to contact you by ticking below:
Post
Email
Telephone
SMS
You can change how we communicate with you at any time by
contacting info@magpas.org.uk or calling 0300 321 4971.
Alternatively, you can write to us at Magpas Air Ambulance, Centenary
House, StMary’s Street, Huntingdon, PE29 3PE. More information can
be found on our privacy statement at www.magpas.org.uk/your-privacy
You will receive a copy of your Welcome Pack and Direct Debit
Guarantee in the post within the next 10 working days.
My details
Mr/Mrs/Miss/Other
First name
Surname
Address
Postcode
Telephone
Email
Consent to play
IMPORTANT: I conrm I am over the age of 16
Banks and building societies may not accept Direct Debit Instructions
for some types of account
Reference
MAGPAS AIR AMBULANCE
Signature(s)
Date
click to sign
signature
click to edit
click to sign
signature
click to edit
dd mmm yyyy
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Magpas Air Ambulance Direct Debit Form

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 9 March 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document