Silver Package | Purchase A Plan - Midcounties Co-operative Funeral Care

Who are you purchasing this plan for?

I am purchasing the plan for:

Your Details

Title:

Forename(s): ^*

Surname: ^*

Address 1: ^*

Address 2:

Address 3:

Town/City: ^*

County: ^*

Post Code: ^*

Email: ^*

Telephone: ^*

Mobile:

Preferred contact method:

Plan Holder's Details

Title:

Forename(s): ^*

Surname: ^*

Address 1: ^*

Address 2:

Address 3:

Town/City: ^*

County: ^*

Post Code: ^*

Email: ^*

Telephone: ^*

Mobile:

Preferred contact method:

Date Of Birth: ^*

Gender:

Religion:

Midcounties Membership Number:

If you are a Member of the Midcounties Co-operative, enter your Membership number here and you’ll receive Membership points on your Funeral Plan purchase. Membership points count towards our annual Share of Profits reward.

Want to find out more about the benefits of becoming a Midcounties Co-operative Member?

Sign Up to become a Member of the Midcounties Co-operative

If you have any questions in relation to how we use your data, please refer to our privacy policy

Funeral Home

Enter your postcode below to find your nearest Co-operative Funeral Home.

Post Code:

My Wishes

Funerals are an important experience for our loved ones. They give us the chance to gather, remember and celebrate a loved one’s life, loves and special moments.

By planning ahead with our My Funeral Wishes tool, you’ll be saving your loved ones or personal representatives from trying to second-guess what you would have wanted at your funeral. And you’ll be able to put your own stamp on your last celebration, ensuring it reflects what is important to you and your unique life.*

My Funeral Wishes is easy to use – just fill in the sections that are important to you.

You can revisit My Funeral Wishes any time you want to add or change anything. You’ll receive your personalised My Funeral Wishes document by post so you can keep it safe with your Funeral Plan summary ready for when the time comes.

Your nominated Midcounties Co-operative Funeral Home will also have it to help your loved ones celebrate your life exactly how you wanted.

*Your personal representative will be advised of any additional items not included in your Funeral Plan when the time comes. Any additional costs will need to be paid at the time of arranging your funeral before those services can be provided.

Enter My Wishes Later Enter My Wishes Now

Payment Options

Please insert a valid discount code here if you have one:

Pay In Full Pay by Direct Debit

Payment Details

Plan Price:	£38753,875.00
	£
	£
	£
Disbursements & Extras:	£0.00
Grand Total:	£3,875.00

Plan Summary

Plan Purchaser:

Plan Holder:

Funeral Home:

Plan Selected: Silver Cremation Plan

Payment Method:

Term:

Monthly Amount:

Grand Total:

Create Your Account

Please keep note of the details provided below as they will be required should you wish to log in to your account at a later date

Username:

Email:

Password:

Confirm Password:

Thankyou for choosing to pay via Direct Debit

There are various payment methods open to you, including paying by Direct Debit. If you wish to pay by Direct Debit we will need you to provide us with details of your Bank Account.
If you have chosen to set up a Direct Debit then we need to carry out a number of checks.

Please can you confirm that you hold a UK Bank / Building Society Account and you are the Account Holder? Yes No

Please can you confirm that you are the only person required to authorise debits from this Account? Yes No

If you have answered 'No' to either of these questions you will need to complete a paper Direct Debit instruction.

If you would prefer to sign a paper Direct Debit instruction, please download, complete and return the direct debit form with the details of a UK Bank / Building Society Account that you are the sole authoriser for, by clicking here.

If you do not wish to proceed any further, please click the 'Cancel' button below.

If you are happy with the above answers, please click the 'Next' button below.

Download Direct Debit Form

Your Bank Account Details

Now you have successfully passed the first stage of the check, we now need to collect your Bank Account Details:

Sort Code: ^*

- -

Account Number: ^*

Account Name: ^*

If you are happy these details are correct, please click the 'Next' button below.

Confirmation of Your Details

Now you have supplied your Bank Account details, we ask for you to check over the following information:

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

Midcounties Co-operative
Warwick Technology Park
Gallows Hill
Warwick
CV34 6DA

Name(s) of Account Holder(s)

Bank/Building Society account number

Branch Sort Code

Service User Number

8

7

1

3

5

2

Reference

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

Address

Postcode

Date 15/07/2020

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

The first direct debit payment will be taken on 01/8/2020

Please check the details shown above are correct. By clicking 'Yes' below you are agreeing to setup a direct debit payment online, which will begin on the date show above. If you click 'No' you will be able to amend your bank account details. Yes No

If all the information is correct, please select 'Yes' to confirm above and then click the 'Next' button below.

If you would like to print a copy of your Direct Debit Instruction, click here.

Contact Details
If you need to contact us our details are as follows:

Call us on 0800 454 940*

Have a question? Talk to our funeral planning specialists today

Purchase Plan

49% of people organising a funeral for their loved one said knowing the wishes of their loved one made it easier

Plan Price:	3875.00£3,875.00
	£
	£
	£
Disbursements & Extras:	£0.00
Instalment charge:	% (£)
Number of Payments:
Monthly Payment:	£
Grand Total:	£