Service User Number
6
9
5
0
5
3
Instruction to your Bank or Building Society
Please pay DDPay Ltd re Teesside Hospice
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
DDPay Ltd re Teesside Hospice and, if so, details will
be passed electronically to my Bank/Building Society.