Instruction To Your Bank Or Building Society To Pay By Direct Debit printable pdf download

Instruction to your bank or building society

to pay by Direct Debit

Service user number:

Please fill in this form and send to: Research Autism, Adam House,

1 Fitzroy Square, London W1T 5HE

Name and full postal address of your bank and building society

Reference:

To the Manager of

Friends of Research Autism

Bank/building society:

Address:

Instruction to your bank or building society

Postcode:

Please pay the National Autistic Society Direct Debits from the

Name(s) of account holders:

account detailed in this instruction subject to the safeguards assured

by the Direct Debit Guarantee. I understand that this instruction may

Branch sort code:

remain with the National Autistic Society and, if so, details will be

pass electronically to my bank/building society.

Signature(s)

Bank/building society account number:

Date

Banks and building societies may not accept Direct Debit instructions for some types of account.

This Guarantee should be detached and retained by the payer.

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 National Autistic Society will notify you 10 working

days in advance of your account being debited or as otherwise agreed. If you request the National Autistic Society 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 National Autistic Society 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 National Autistic Society 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 us.

Become a friend of Research Autism

Research Autism is the only UK charity exclusively dedicated to

research into interventions in autism.

About our new Friends scheme

By becoming a Friend, your organisation can help us to transform the lives of people with autism

now and in the future by making a regular financial contribution towards our work. As a Friend, a

nominated member of your staff will have access to:

• Regular weekly and monthly bulletins on the latest news and research from around the world,

delivered straight to your inbox

• Discounts on delegate rates for Research Autism conferences, which address the latest thinking

in autism

• Free online access to presentations from our conferences from renowned speakers. Previous

conference speakers have included Professor Simon Baron-Cohen, Professor Christopher

Gilberg, Dr Lorna Wing and others.

Our aim is to develop the scheme further over the coming months by adding additional services, so watch this space

for more news. Sign up now and become a founder member of our Friends scheme.

Friends’ annual contribution rates for organisations:

“I am the Executive Director of Practice Development at Dimensions, a nationwide

Small not-for-profit organisations, with less than 10 staff: £36

organisation supporting people with learning disabilities, people with autism, and their

Small commercial organisations, with less than 10 staff: £60

families. The autism sector changes very quickly and being a Friend of Research

Local authorities, NHS and large not-for-profit organisations: £96

Autism helps keep me and the rest of my team up to date with the latest news and

Universities and large commercial organisations: £120

research on autism. For example, the weekly news bulletin comes straight to my

inbox, enabling me to quickly see what is and isn’t relevant, and enabling me to follow

Overseas organisations: £150

up anything I find interesting or useful. “

Individuals: please contact us for details

Lisa Hopkins, Executive Director of Practice Development, Dimensions

Discounts available under certain circumstances

Please contact us for details

or complete the friendship form overleaf

Please note that in order to keep expenditure to a minimum, some direct debits are collected on our behalf by the National Autistic Society

Research Autism, Adam House, 1 Fitzroy Square, London W1T 5HE

Tel: 020 3490 3091; Email: info@researchautism.net; Registered Charity No: 1096508

Instruction To Your Bank Or Building Society To Pay By Direct Debit

Related Articles

Related forms

Related Categories