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Lisburn City Council
Tue 6th Jan 2009 
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Direct Debit Application Form
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Direct Debit Application Form

Home » Online-services » 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.



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