ANTIA
Personal Details
Please fill in your personal details as shown on your legal document.
Contact Details
Payment Details

Payments will be recurring per month.

  • I am the bank account holder or custodian.
  • By signing this mandate form, you authorise (A) ClubCollect to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from ClubCollect. As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.
Membership (you can't change this)
Group members

By clicking this button, you will be brought to the online banking page.