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EJA payment mandate 2021-2022

Please use this form to submit your direct debit details to the Club. Your account will be automatically billed the amount specified at the bottom of the form. After successful submission of the form, you will be redirected to pay the league registration fee.

Player's name:

Player's age group:

Payee's name:

Payee's address:

Payee's postcode:

Bank name:

Bank address:

Bank postcode:

Account number:

Sort code:

Please pay from my account to: Haverhill Rovers EJA

Bank: Barclays Bank plc, 39 High Street, Haverhill, Suffolk, CB9 8AE