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Direct-debit-application-form
Please complete the following form:
Name(s) of Account
Holder(s):
Bank / Building society
account number:
Branch Sort Code:
Name and postal address
of your Bank / Building
society:
Reference Code:
The Direct Debit Guarantee
This Guarantee is offered by all Banks and Building Societies that take part in the Direct Debit Scheme. The efficiency and security of the Scheme is monitored and protected by your own Bank or Building Society.
If the amounts to be paid or the payment dates change Lisburn Borough Council will notify you 10 working days in advance of your account being debited or as otherwise agreed.
If an error is made by Lisburn Borough Council or your Bank or Building Society, you are guaranteed a full and immediate refund from your branch of the amount paid.
You can cancel a Direct Debit at any time by writing to your Bank or Building Society. Please also send a copy of your letter to us.
Form Controls:
In This Section...
Lisburn Dog Licence Application Form
Application Form For Business Directory
Application Form For Exhibitions
Application Form For Hire Of West Lisburn Community Centre
Box Office Events Form
Bridge Community Centre Booking Form
Building Notice Application
Direct Debit Application Form
Evaluation Form Four Training
Evaluation Form One Premises
Evaluation Form Three
Evaluation Form Two Admin Grant
Hairdressers Registration Form
Lisburn Half Marathon
Mini Bus Booking Form
Regularisation Application
Rock Studio Hire Form
Smoking Penalties
REFUND POLICY