temp form - Freshbins - Residential & Commercial Wheelie Bin Cleaning, and Machinery Supplier

Title*

First Name*

Surname*

House Number*

Address*

Town*

Postcode*

Council*

Telephone*

Mobile

Email*

General Waste*

Recycle Waste*

Garden Waste*

Food Caddy*

Frequency*

Refuse Collection Day*

How Did You Hear About Us*

Details of Referral

Originators Name

Freshbins UK Ltd

Name of Account Holder*

Bank/Building Society Account No.*

Branch Sort Code*

Instruction to your Bank or Building Society to pay by Direct Debit

Originators Identification Number: 838397

Please pay Freshbins UK Ltd 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 Freshbins UK Ltd and if so, details will be passed electronically to my Bank/Building Society

Direct Debit Terms & Conditions

I accept all Terms & Conditions of the Direct Debit

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 Freshbins UK Ltd will notify you 10 working days in advance of your account being debited or as otherwise agreed.
If an error is made by Freshbins UK Ltd 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.

tel: 01442 265606

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