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Direct debit form - ICO

8 0 8 6 3 4 Registration reference: Postcode Address To The Manager Bank/Building Society Telephone Number Signature(s) ---------------------------------------- ---------------------------------------- ---------------------------------------- ----Instruction to your Bank or Building Society to pay by Direct debit Please fill in the whole form using a ball point pen and send it to: Registration and Renewals Information Commissioner's

10 working days in advance of your account being debited or as otherwise agreed. If you request Information Commissioner to collect a payment, confirmation of the amount and date will be given to you at the time of the request

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