Please fill out this Form and Post it to the Address Below:


Yes - I would like to join NFU Countryside and have completed the Direct Debit form. If I do not wish to continue my membership, I can cancel the Direct Debit Instruction at any time by contacting my bank or building society or by calling the NFU on 0870 6060 525. I understand that the annual membership fee is £41.50 and is automatically debited from my account on the first working day in the month after returning this form.

Title____ Initials_______ Surname _______________________________________
Address _____________________________________________________________
____________________________________________________________________
Postcode ______________ Telephone Number______________________________

From time to time the NFU makes its mailing list available to other reputable companies. If you do not wish to be included please tick this box


Name and full Postal Address of your Bank or Building Society branch


To: The Manager____________________
____________Bank or Building Society
Address____________________________
__________________________________
______________Post Code____________
Group Office - B1623
Originator's Identification Number
(to be completed by NFU)

NFU Membership Number
(Ref. no. for NFU use only)

Name(s) of account holder(s)


Bank/Building Society account number



Branch Sort Code

Instruction to your Bank or Building Society: Please pay NFU Direct Debits from the account detailed on this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with the NFU and if so, details will be passed electronically to my Bank/Building Society


Signature(s)_____________________

Date_____/______/__________

Banks and Building Societies may not accept Direct Debit instructions from some types of account

 

Please post this form to:
NFU Countryside Subscriptions
FREEPOST (SWB20440)
Sturminster Newton
DT10 1ZZ