RSGB Direct Debit Form

Save money by paying by Direct Debit

Type of Membership Required *

Full Name *

Title First Name Last Name

Callsign (if any)

Date of birth

Date Picker Icon

Address *

Address Line 1
Address Line 2
Town/City	State / Province
Post Code	Country

Phone Number *

Area Code Phone Number

E-mail *

For Family Memberships names of additional members

Please include full name, callsign (if any) and date of birth

Are you a current RSGB Member? *

No Yes

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RSGB Direct Debits

Service User Number 941302

By completing this form you are providing an instruction to your UK Bank or Building Society to pay the Radio Society of Great Britain direct debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee.

Please note that banks and building societies may not accept Direct Debit instructions for some types of accounts. The RSGB does not offer direct debits from credit cards.

Bank Account Number *

Normally 8 digits

Sort Code *

Name of Account Holder *

Payment Frequency *

I understand the nature of this instruction *

This instruction may remain with the Radio Society of Great Britain (Service User Number 941302) and if so details will be passed electronically to my bank/building society

I understand the RSGB Direct Debit Guarantee *

This Guarantee is offered by all UK banks and building societies that accept instructions to pay Direct Debits. If there are any changes to the amount, date or frequency of your Direct Debit the Radio Society of Great Britain will notify you 7 working days in advance of your account being debited or as otherwise agreed. If you request the Radio Society of Great Britain to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit, by the Radio Society of Great Britain or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when the Radio Society of Great Britain asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify the Radio Society of Great Britain.

Signature (by mouse) *

By clicking the submit button below I agree that the Radio Society of Great Britain may set up a direct debit in accordance with the instrcutions above