Change of Circumstances - Direct Debit only - Jesus said...Feed my Lambs

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CHANGE OF CIRCUMSTANCES - Direct Debit only

If you already have a Direct Debit set up with us you may amend any details or notifiy us of any change of circumstances by using the form below.

Once completed please click on the SUBMIT button and ensure you see a confirmation notice. You must complete all questions with a red * in order for the form to submit successfully.

Please amend my Direct Debit...

* Indicates required field

Name *

First

Last

Email *

Address *

Do you wish to.... *

Increase your gift Decrease your gift Cancel your direct debit Other issue... please state in the box below

please state any other issue here *

If changing the amount of your Direct Debit, please select the amount you wish to give. *

If the amount you wish to give is not listed above, please type it here *

Is the amount you have selected or listed.... *

the total amount you wish to give in addition to the amount you are already giving by Direct Debit I am cancelling or have another issue

If this is in addition to your current amount and any other details change such as date, frequency or bank account, we will treat this as a new direct debit and separate from any existing direct debit.

Do you wish to keep the same date for your Direct Debit? *

yes no I am cancelling or have another issue

If you wish to change the date of your Direct Debit, please list the new date here. *

Please note, if you do not list a month, the payment will begin from the next calendar month

Do you wish to change the frequency of your donation? *

No, please keep the frequency the same Yes, please take my donation weekly until further notice Yes, please take my donation monthly until further notice Yes, please take my donation annually until further notice I am cancelling or have another issue

Do you need to change your bank details? *

yes - please enter details below no - there is no need for you to enter your bank details again I am cancelling or have another issue

Should you select, No, your new payment plan will be deducted from the bank account you have already registered with us

Name on Bank Account *

Sort Code *

Account Number *

Would you like to Gift Aid this new amount each time the donation is processed? *

If there is any other information you feel we should know, please state here. Otherwise we will contact you if we need anything clarified. *

Submit

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