Your Personal Details

If your company account requires more than one signature, a paper mandate must be completed and returned to us.

Click here to print the direct debit form.

Address Details

Number of Memberships (each membership gives you 7 chances)

Frequency of Payments

Payment Amount


Our field sale representatives work for a third party fundraising company. They will expect to be paid in connection with this particular appeal, and they will be paid from an independent fundraising budget so all monies raised through this appeal will go direct to the beneficiary. By proceeding you acknowledge to have accepted this statement.


Your Club Lottery - Blackpool FC

Click here to view our Direct Debit Guarantee.

Direct Debit Instruction

Instruction to your bank / building society to pay by direct debit.
Service User Number: 171521 Instruction to your Bank or Building Society

 Please pay FastPay Ltd Re Your Club Lottery - Blackpool FC 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 FastPay Ltd Re Your Club Lottery - Blackpool FC and, if so, details will be passed electronically to my Bank/Building Society.

The following information will appear on your bank statement alongside our collections:

Company Name:

You will receive confirmation by email within 3 days.

Direct Debit Guarantee


 This Guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debits.

If there are any changes to the amount, date or frequency of your Direct Debit, FastPay Ltd Re Your Club Lottery - Blackpool FC will notify you five working days in advance of your account being debited or as otherwise agreed. If you request FastPay Ltd Re Your Club Lottery - Blackpool FC to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

If an error is made in the payment of your Direct Debit by FastPay Ltd Re Your Club Lottery - Blackpool FC or your Bank or Building Society, you are entitled to a full and immediate refund of the amount paid from your bank or building society.

– If you receive a refund you are not entitled to, you must pay it back when FastPay Ltd Re Your Club Lottery - Blackpool FC asks you to.

You can cancel a Direct Debit at any time by simply contacting your Bank or Building Society. Written confirmation may be required. Please also notify us.