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Plan Holder's Details
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Instruction to your Bank or Building Society to pay by Direct Debit
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Name(s) of Account Holder(s)
Bank/Building Society account number
Branch Sort Code
Service User Number
Instruction to your Bank or Building Society
Please pay Co-operative Funeralcare 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 Co-operative Funeralcare and, if so, details will be passed electronically to my Bank/Building Society.
Name and full postal address of your Bank or Building Society
To The ManagerBank/Building Society
Banks and Building Societies may not accept Direct Debit Instructions for some types of account.
Disbursements are the additional fees related to your funeral that your chosen Funeral Home has no control over. These are cost elements such as doctors fees, ministers fees, crematoria fees and other potential costs for services that the Funeral Home does not directly provide themselves.
As such we recommend that you add the disbursement contribution to the cost of your funeral plan. It is optional and if you don’t include a contribution then your family or estate will have to pay for the disbursement costs at the time of need.