Direct Debit Application

Please ensure that data is entered correctly

If you have problems completing this form, please contact us at billing@monkton.org.uk or telephone 01225 721152

Pupil Name

Title

First name Please enter a first name

Last name Please enter a last name

Date of birth

Email address Please enter an email

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Mobile phone number

Current address

Postcode Please enter a postcode

Building number or name Please enter a building name or number

Address Please enter address

Town or city

Bank account information

Name of account holder(s) Please enter a valid bank account name

Sort code

Account number

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Direct Debit Guarantee

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, Monkton Combe School will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Monkton Combe School 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 Monkton Combe School 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 Monkton Combe School 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.

The details of your Direct Debit Instruction will be confirmed to you within 3 working days or no later than 10 working days before the first collection.

Monkton Combe School will appear against the Direct Debit on your bank statement.

Confirm that the above Bank Account information is correct.

If two or more people are required by your bank to authorise new Direct Debits, this form cannot be used. Please contact Monkton Combe School to discuss alternatives.

Confirm that you are the Account Holder and the only person required to authorise Direct Debits from this account?