To set up a Direct Debit instruction online, you must be the account holder of a personal bank or building society account. If you are not the only required signatory on your account or you would rather print and complete a paper copy please click here. Alternatively you can give via the phone by calling: 0300 12 12 333

Regular Gift

£5

£10

£20

£50

Other:

 
 
Direct Debit
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Additional Information
Type of gift: Recurring gift
 
  
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Your Information
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Payment Information
In order to set up a Direct Debit instruction online, you must be the account holder of a personal bank or building society account. If you are not the only required signatory on your account or you would rather send us a paper version please click here.
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Date: 23/11/2017
Service user's ID number: 558171

Instruction to your Bank or Building Society

Please pay Chest Heart & Stroke Scotland 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 Chest Heart & Stroke Scotland and, if so, details will be passed electronically to my Bank/Building Society. Banks and Building Societies may not accept Direct Debit Instructions for some types of account.
Direct Debit    The Direct Debit Guarantee

By clicking 'Donate Now' you are confirming that you are the account holder and that you are the only person required to authorise debits from this account.