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Existing Customers - Sign up for Direct Debit

Complete this form to sign up for direct debit

First Name: *

Surname: *

Address: *

Post Code: *

Phone Number: *

Email: *

Garden Waste Customer reference:

The name of the account holder(s) on the card: *

Account number for your bank/building society (8 digits) *

Sort code for your bank/building society: *

Name of Bank/Building Society: *

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