Instruction to your Bank or Building Society to pay by Direct Debit
Please complete the form using ball point pen and send it to:
Fuelogic Ltd
Knight House
Threshelfords Business Park
Inworth Road, Feering Colchester
Essex
CO5 9SE
Name(s) of account holder(s)
 
Bank/Building Society Account Number
Branch Sort Code
Name and full postal address of your Bank or Building Society
To: The Manager
Bank/Building Society:                                 
Address:  
 
Postcode:  
Service user number
4
3
2
7
7
0
Reference
 
 
 
 
 
 
 
Instruction to your Bank or Building Society
Please pay Fuelogic Ltd 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 Fuelogic Ltd and, if so, details will be passed electronically to my bank/building society.
Signatures:
 
Date:
Banks and Building Societies may not accept Direct Debit Instructions for some types of account
This guarantee should be detached and retained by the Payer.
The 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 Fuelogic Ltd will notify you seven working days in advance of your account being debited or as otherwise agreed. If you request Fuelogic Ltd 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 Fuelogic Ltd 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 Fuelogic Ltd 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.