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

Please fill in the whole form including official use box using a ball point pen and send it to:

A Plus Academy Cheadle Limited
Unit 2 The Courtyard
2 Finney Lane
Heald Green
Cheadle
Greater Manchester
SK8 3GZ

Name(s) of account holder(s)

Bank/building society account number

Branch sort code

Reference

Name and full postal address of your bank or building society

To: The Manager

Address

Postcode

Service user number

FOR BPS Re A Plus Academy Cheadle OFFICIAL USE ONLY

This is not part of the instruction to your bank or building society.

Customer – Please Complete

NAME:

Address:

Email Address:

Telephone number:

Instruction to your bank or building society

Please pay BPS Re A Plus Academy Cheadle 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 BPS Re A Plus Academy Cheadle and, if so, details will be passed electronically to my bank/building society.

Signature(s)

By typing your name, you agree this serves as your electronic signature

Date

Banks and building societies may not accept Direct Debit Instructions for some types of account

I authorise A Plus Academy Cheadle to send instructions to your bank to debit your account and your bank to debit your account in accordance with the instructions from A Plus Academy Cheadle

The Direct Debit Guarantee

This guarantee should be detached and retained by the payer.

This 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 BPS Re A Plus Academy Cheadle will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request BPS Re A Plus Academy Cheadle 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 BPS Re A Plus Academy Cheadle 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 BPS Re A Plus Academy Cheadle asks you to
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.