I certify that the above bank details are correct and I authorise Body & Mind to debit my account with my membership fee & other requested advertising fees on the 28^th of every month. If these banking details have not been provided accurately, or if the details change at any time in the future & if I/we fail to notify Body & Mind of such changes, or if payment is not made in accordance with a Debit Order Instruction, the responsibility for payment will rest with me/us. Membership agreements are for a minimum of 6 Months and the onus is on the Customer to cancel, providing us as per the Debit Order form agreement, a 30 Day notice of such cancellation



All such withdrawals from my/our bank account by you shall be treated as though they had been signed by me/us. This authority may only be cancelled by me/us giving 30 days' notice in writing.

Please NOTE: On your bank statement your debit's reference will be : PREMIUMCOLRF00000000(8digits)BODY******

Subscriptions are paid in advance.


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