I wish to renew my competition number ________ (insert competition number), paying annually by direct debit. I understand that the first payment will be taken within a month of the BGA receiving this form (unless the subscription for the current year has already been paid by other means). Future payments will be taken annually on or around December 22nd in respect of the following year (1st January to 31st December)
Section 1
Name for communications (if the competition number is owned by a syndicate, please provide a single individual’s name) Contact Address
Telephone
Email
Glider Type
BGA Number

Please fill in the whole form including official use box using a ball point pen and send it to:
British Gliding Association 8 Merus Court Meridian Business Park Leicester LE19 1RJ
Name(s) of Account Holder(s)

Instruction to your Bank or Building Society to pay by Direct Debit
Service User Number
630572
FOR THE BRITISH GLIDING ASSOCIATION OFFICIAL USE ONLY This is not part of the instruction to your Bank or Building Society.

Bank/Building Society account number

Branch Sort Code

Name and full postal address of your Bank or Building Society

To: The Manager

Bank/Building Society

Address

Instruction to your Bank or Building Society Please pay the British Gliding Association 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 British Gliding Association and, if so, details will be passed electronically to my Bank/Building Society.
Signature(s)

Postcode

Date

Reference
C OMP N U MB E R
Banks and Building Societies may not accept Direct Debit Instructions from some types of account
This guarantee should be detached and retained by the Payer.

DDI1

The Direct Debit Guarantee
 This Guarantee is offered by all 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 British Gliding Association will notify you
10 working days in advance of your account being debited or as otherwise agreed. If you request the British Gliding Association 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 British Gliding Association or your bank or building society, you
are entitled to a full and immediate refund paid from your bank or building society
 If you receive a refund you are not entitled to, you must pay it back when the British Gliding Association asks you to  You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may also
be required. Please also notify us.