SUN Number:

  431566
Name(s) of Account Holder(s):
Sort Code:  
Account Number:  
Name of Bank/Building Society:
Address of Bank/Building Society:
(inc. Post Code)

Reference Number:

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Instruction to your Bank or Building Society
Please pay Live Connections Ltd (LCL) 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 LCL and, if so, details will be passed electronically to my Bank/Building Society.Clicking Submit will automatically send these details to us for processing.
It will act as your "virtual signature" in accepting this agreement.