Direct Debit Form

Service User Number 287617

Instruction to your Bank or Building Society: Please pay FastPay Ltd Re The Indus Hospital Charity/Indus Health Network 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 FastPay Ltd Re The Indus Hospital Charity/Indus Health Network and, if so, details will be passed electronically to my Bank/Building Society.

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