PLEASE FILL IN THE WHOLE FORM AND SEND TO:
Best Insurance, Gemini Business Centre, 136-140, Old Shoreham Road, Hove BN3 7BD, United Kingdom
1.Name and full postal address of your Bank or Building Society branch
To : The Manager
Address: {{$personal_data->bank}}
{{$personal_data->branch}}
{{$personal_data->branch_address}}{{$personal_data->town}}
Post Code:{{$personal_data->bank_postcode}}
2.Name(s) of account holder(s)
3.Branch sort code (From the top right hand corner of your cheque)
4.Bank or Building Society account number
Originator Identification Number:
  
5.Reference Number (Best Insurance)
This guarantee should be detached and retained by the payer.
Direct Debit Guarantee

This guarantee should be detached and retained by the Payer

  • 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 Best Insurance(Administration) will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Best Insurance 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 Best Insurance (Administration) 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 Best Insurance (Administration) 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.