RSGA
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Payment Details

Check this box so we can deduct the contribution from your account. If you don't check this box you will recieve an email with further payment details.

  • 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.
Other Details
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