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UK NATIONAL KIDNEY FEDERATION
Direct Debit Instruction

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Instruction to your Bank or Building Society to pay by Direct Debits

Originator's Identification Number:

NKF Ident number (836036)
Direct Debit logo

Please complete and return (with your Membership Application Form and/or Gift Aid Declaration, if appropriate) to :
National Kidney Federation, The Point, Coach Road, Shireoaks, Worksop, Notts S81 8BW


Name and full postal address of your Bank or Building Society Branch

To the Manager

Address:
 
 
  Postcode:

Name(s) of account holders:
Branch Sort Code (from the top right corner of your cheque):
- -

Bank or Building Society account number:
Reference Number: (NKF use only)

Instructions to your Bank or Building Society

Please pay National Kidney Federation Direct Debits from the details in this instruction subject to the safeguards assured by the Direct Debit guarantee. I understand that this instruction may remain with the NKF, if so details will be passed electronically to my bank or Building Society.

Signature:

Date

Note: Paying by Direct Debit means that your subscription is paid directly to the Federation from your Bank account every 12 months. It saves us administration costs and saves you the trouble of sending a cheque each year. It means you contribute more to our vital activities at no extra cost. Banks and Building Societies may not accept Direct Debit instructions for some types of account.



The National Kidney Federation is registered in England and Wales
as a Company limited by guarantee (Company No 5272349)
and awarded charitable status (Charity Number 1106735).
Give as You Earn contributions No. CAF GY511.
Registered Office:-
The Point
Coach Road
Shireoaks
Worksop
Notts
S81 8BW

Tel:
Fax:
Helpline:
E-mail:
(01909) 544999
(01909) 481723
(0845) 601 02 09

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Last updated: 24 March 2008

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