{{plan.frequency | planFrequencyToString}}
Until further notice
{{wizard.step2.endDate() | date: 'dd/MM/yyyy'}}
£{{plan.registrationFee.toFixed(2)}}
£{{getFirstAmount().toFixed(2)}}
£{{getPlanAmount().toFixed(2)}}
{{client.name}}, {{client.address}}
NOTE: Your account number and sort code will identify your bank and branch address.
Please pay PPD re: DENTAL PRACTICE 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 PPD re: DENTAL PRACTICE and if so, details will be passed electronically to my Bank/Building Society.
NOTE: Banks and Building Societies may not accept Direct Debit Instructions for some types of accounts.
01/06/2024
You must tick the box to continue
If you are not the only person required to authorise debits you will need to complete a paper Direct Debit Instruction. Please contact us to discuss.
Please check the plan registration details entered to set up the Direct Debit Instruction:
You will receive at least 10 days advance notice of the following amount that will be debited from the above bank account until further notice.
The reference that will appear on your bank statement will read DENTAL PRACTICE
If you have provided an email address when registering, your Direct Debit instruction will be confirmed by email within 3 working days. Otherwise a copy of your Direct Debit instruction will be emailed to your practice, who will forward on to you accordingly.
Thank you! You Direct Debit was created successfully.
You may download PDF completed mandate for your records