Your Bank Account Details

Please provide us with your Bank Account details, which are found within your Cheque Book.

Instruction to your Bank or Building Society to pay by Direct Debit

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Name and full postal address of your Bank or Building Society
Instruction to your Bank or Building Society

Please pay the Hospital Consultants and Specialists 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 the Hospital Consultants and Specialists Association and, if so, details will be passed electronically to my Bank/Building Society.

Bank and Building Societies may not accept Direct Debit Instructions for some types of account.

Please click on print should you wish to have a copy of this screen.

If you are happy to proceed and to fill in an online Direct Debit form, please click continue. By continuing, you are agreeing to our Terms and Conditions


Alternatively, if you wish to fill in a paper direct debit form and post it to us, click here.