Set up a Direct Debit Mandate

Data Protection Privacy Notice

Please read this Privacy Notice which explains how any personal information you provide on this form will be used by Rushcliffe Borough Council.

INSTRUCTION TO YOUR BANK/BUILDING SOCIETY TO PAY DIRECT DEBITS

Originator's Identification Number: 930087.

Please complete the details below to instruct your bank or building society to make payments direct from your account.

Account Details

Please enter the name of your branch and the address:

Name of account holder:

Bank account number:

Sort code:

What are you setting the Direct Debit up for?

Council Tax

Business Rates

Sections

Instruction
Instruction Confirmation
Your Details
Payment Date