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Once this form has been submitted, please allow up to one month to receive a letter showing your direct debit instalments.
Instruction to your Bank or Building Society to pay by Direct Debit
Originator's Identification Number
* All fields are mandatory
You can only set up a direct debit online using a bank account in your own name. The account holder can complete the form with the address and reference number quoted above. Alternatively, you can print off a Direct Debit Mandate Form (PDF,35kb)
which should be completed, signed by the account holder and returned to the address on the form.
Please pay North Ayrshire Council 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 North Ayrshire Council and, if so, details will be passed electronically to my bank/building society.
Please read the following Direct Debit Guarantee (this will also be included in the confirmation email sent to you - which should be retained for your records)
The Direct Debit Guarantee