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Name(s) of Account Holder(s)
Bank/Building Society
account number
Branch Sort Code
Name and full postal address of your
Bank/Building Society
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Originator's Identification Number
Reference Number
Instruction
to your Bank or Building Society:
Please pay The OR Society 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
OR Society Ltd and, if so, details will be passed
electronically to my Bank/Building Society
Please return
this form and the join form to the ORS and not
to your Bank or Building Society
Banks and Building Societies may not accept Direct
Debit instructions for some types of account
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