Direct debit student subscription form

Print out this page, complete the details below, and post it to us

I would like to subscribe to healthmatters by Direct Debit, for only £9.95 annually for the duration of my course, and £19.95 annually thereafter. Please also send me the free gift I have chosen.

I understand that I may cancel my subscription at any time, either by email or by letter, and receive a full refund of the unexpired part, without question.

Note: Direct Debit is only available from UK bank accounts.

My name and address (block capitals):

Name  
Address and postcode  
Email  
Selected free gift  
Course name and institution  
Course ends (month/year)

 

Instruction to your Bank or Building Society to pay by Direct Debit Direct Debit
Please fill in the form and send it to healthmatters, not your bank.
Name and full postal address of your Bank or Building Society

To: The Manager

Bank/BS
Address
 
Postcode

Name of account holder:

 

Bank/Building Society account no:

               

Branch Sort Code:

    -     -    
Originator's Identification Number
8 7 4 3 2 5

Reference Number (leave blank)

               

Instruction to your Bank or Building Society

Please pay healthmatters 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 healthmatters and, if so, details will be passed electronically to my Bank/Building Society.

Signature(s)
Date

Some banks and building societies may not accept direct debit instructions for some types of account.

 

Send your completed form to the address below. You don't need a stamp.

Freepost RLUX-RYBZ-SXRG, healthmatters, PO Box 459, Sheffield S3 8WW.